Organization Active NPI

Western Colorado Radiation Oncology, PC

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1528026804
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
007210 Issued in CO
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

Updated by the provider on Dec 31, 2009

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
04017604MedicaidCO
179008OtherCOBLUE CROSS - BLUE SHIELD
CG0832OtherCORRMCR

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.