Mountain Blue Cancer Care Center

LBN: Mountain Blue Cancer Care Center
Mountain Blue Cancer Care Center is an health care organization with primary practice located at 3501 S Corona St Ste 1 , Englewood CO 80113-3907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Mountain Blue Cancer Care Center can be contacted via phone (303) 999-6745, or through Witta, Samir via phone (303) 870-3293.

Contact Information

Primary practice address
3501 S Corona St Ste 1 Englewood CO 80113-3907
Phone: (303) 999-6745
Fax: (303) 586-2228
Website:
Map and Directions
Authorized official contact:
Name: Witta, Samir
Phone: (303) 870-3293

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1013678879
LBN Legal business name Mountain Blue Cancer Care Center
DBA Doing business as
Authorized official Witta, Samir
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2022
Last updated May 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013678879 NPPES
Colorado MEDICAID 82076529

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