Cccric LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

CCCRIC LLC

Practice address

799 E Hampden Ave Ste 500
Englewood, CO 80113-2777

Phone

(303) 788-8675

Fax

(303) 788-8489

NPI assigned

Aug 2, 2013

Last updated

May 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Halvorson

Title

Practice Administrator

Phone

(303) 788-8675

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1760814644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 500",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132777",
            "telephone_number": "303-788-8675",
            "fax_number": "303-788-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 500",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132777",
            "telephone_number": "303-788-8675",
            "fax_number": "303-788-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCCRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-788-8675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68524374",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado
• Londyn Brooke Caton, PHARMD
• Amy Cavanaugh, MOT
• Cbsi Neuroanesthesia LLC
• CC Foot Clinic PC (Cherry Creek Foot & Ankle Clinic)
• CCJK, PLLC (Sunwell Counseling)
• Centennial Chiropractic Clinic Professional Corporation (Centennial Chiropractic Clinic, PC)
• Center for Autism and Related Disorders LLC
• Center for Embodiment, LLC
• Center for Plastic and Aesthetic Surgery, PC (Stephen A Goldstein, MD, PC)

• Hematology & Oncology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Hematology & Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.