Healthcare Provider Details

I. General information

NPI: 1255934402
Provider Name (Legal Business Name): ROCKY MOUNTAIN CANCER CENTERS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 300
ENGLEWOOD CO
80113-2736
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US

V. Phone/Fax

Practice location:
  • Phone: 303-740-8200
  • Fax: 303-740-5900
Mailing address:
  • Phone: 303-930-7895
  • Fax: 303-267-4477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCINE SILVA
Title or Position: SENIOR CREDENTIALING COORDINATOR
Credential:
Phone: 303-930-7895