NPIMap

Organization Active NPI

Cancer Centers of Colorado, LLC

Doing business as CCC Sloan's Lake Infusion Clinic

  • Hematology & Oncology Physician
  • Denver, CO
National Provider Identifier
1114439924
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CENTERS OF COLORADO, LLC
Doing business as
CCC Sloan's Lake Infusion Clinic
Practice address
1601 Lowell Blvd Ste 150
Denver, CO 80204-1545
Phone
(303) 403-6820
Fax
(303) 403-6393
NPI assigned
Nov 2, 2017
Last updated
Nov 2, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SCL HEALTH PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise Black-Andersen
Title
Director Cancer Service Line and SP
Phone
(303) 425-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

1601 Lowell Blvd Ste 150
Denver, CO 80204-1545

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Other names 1

  • CCC Sloan's Lake Infusion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219001462 CO Part B Supplier - Clinic/Group Practice 8022376128 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Denver, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2139249SCL Health Cancer Centers of Colorado1601 Lowell Blvd, Denver, CO 80204ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

2777 Mile High Stadium Cir
Ste 100
Denver, CO 80211
Phone (303) 403-6820

750 Wellington Ave
Ste 3A
Grand Junction, CO 81501
Phone (970) 248-3188

630 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (303) 376-1747

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1114439924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD STE 4300",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LOWELL BLVD STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041545",
            "telephone_number": "303-403-6820",
            "fax_number": "303-403-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTERS OF COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCL HEALTH PARTNERS, LLC",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "BLACK-ANDERSEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR CANCER SERVICE LINE AND SP",
        "authorized_official_telephone_number": "303-425-8145"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCC Sloan's Lake Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.