Active NPI
Western Colorado Radiation Oncology, PC
- Specialist
- Grand Junction, CO
National Provider Identifier
1528026804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 007210
- Legal business name
- WESTERN COLORADO RADIATION ONCOLOGY, PC
- Practice address
- 2352 N. 7TH St.
Ste. B
Grand Junction, CO 81501 - Phone
- (970) 257-1786
- Fax
- (970) 257-0035
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Mary J Archuleta, CPC, ROCC
- Title
- Billing Manager
- Phone
- (970) 257-1786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 007210 | CO | Primary |
Addresses
Primary practice location
2352 N. 7TH St.
Ste. B
Grand Junction, CO 81501
Mailing address
2352 N 7TH St
Ste. B
Grand Junction, CO 81501-8168
Phone (970) 257-1786
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04017604 | Medicaid | CO | |
| 179008 | Other | CO | BLUE CROSS - BLUE SHIELD |
| CG0832 | Other | CO | RRMCR |
National Provider Directory
National Provider DirectoryLocations
Dept 2267
Denver, CO 80291
2352 N 7th St
Ste B
Grand Junction, CO 81501
Phone (970) 257-1786
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Grand Junction, CO
- NPI 1649278003
-
- Specialist
- Montrose, CO
- NPI 1407814965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262217600000",
"number": "1528026804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 N 7TH ST",
"address_2": "STE. B",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018168",
"telephone_number": "970-257-1786",
"fax_number": "970-257-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2352 N. 7TH ST.",
"address_2": "STE. B",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-257-1786",
"fax_number": "970-257-0035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN COLORADO RADIATION ONCOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2009-12-31",
"status": "A",
"authorized_official_last_name": "ARCHULETA",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "970-257-1786",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "CPC, ROCC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "007210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04017604",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - BLUE SHIELD",
"identifier": "179008",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "CG0832",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
- Western Cardiothoracic Association, PC
- Western Colorado Hearing Clinic
- Western Colorado Hearing Clinic PLLC
- Western Colorado Infusion, LLC
- Western Colorado Lung Center, Professional L.L.P.
- Western Colorado Radiologic Associates, PC
- Western Colorado Senior Care, LLC
- Western Colorado Weight Care, LLC
- Western Medical Associates, P.C.
- Western Orthopedics & Sports
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.