Provider Demographics
NPI:1972187623
Name:ROCKY MOUNTAIN CANCER CENTERS, LLP
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN CANCER CENTERS, LLP
Other - Org Name:ROCKY MOUNTAIN CANCER CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-930-7895
Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4758
Mailing Address - Country:US
Mailing Address - Phone:303-930-7800
Mailing Address - Fax:
Practice Address - Street 1:10107 RIDGEGATE PKWY STE G01
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5637
Practice Address - Country:US
Practice Address - Phone:303-285-5020
Practice Address - Fax:303-285-5097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKY MOUNTAIN CANCER CENTERS, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty