Creekside Cancer Care Llc

LBN: Creekside Cancer Care Llc
Creekside Cancer Care Llc is an health care organization with primary practice located at 120 Old Laramie Trl E , Lafayette CO 80026-7012. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, Radiation, which is considered as the primary health care specialty. Creekside Cancer Care Llc can be contacted via phone (303) 926-9800, or through Simpson, Charles Kelley via phone (303) 926-9800.

Contact Information

Primary practice address
120 Old Laramie Trl E Lafayette CO 80026-7012
Phone: (303) 926-9800
Fax: (303) 926-9801
Website:
Map and Directions
Authorized official contact:
Name: Simpson, Charles Kelley Doctor of Medicine (MD)
Phone: (303) 926-9800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X

Profile Details

NPI number 1912137811
LBN Legal business name Creekside Cancer Care Llc
DBA Doing business as
Authorized official Simpson, Charles Kelley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Oct 18th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912137811 NPPES
Colorado Other COB4795 MEDICARE INDIVIDUAL AND GROUP PTAN

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