Provider Demographics
NPI:1518244490
Name:HEALTHONE CLINIC SERVICES-ONCOLOGY HEMATOLOGY LLC
Entity Type:Organization
Organization Name:HEALTHONE CLINIC SERVICES-ONCOLOGY HEMATOLOGY LLC
Other - Org Name:COLORADO BLOOD CANCER INSTITUTE-CBCI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-584-8000
Mailing Address - Street 1:1800 WILLIAMS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1238
Mailing Address - Country:US
Mailing Address - Phone:720-754-4800
Mailing Address - Fax:866-341-6984
Practice Address - Street 1:1800 WILLIAMS ST STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1238
Practice Address - Country:US
Practice Address - Phone:720-754-4800
Practice Address - Fax:866-341-6984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4981OtherPTAN