Mountain Blue Cancer Care Center Pc

LBN: Mountain Blue Cancer Care Center Pc
Mountain Blue Cancer Care Center Pc is an health care organization with primary practice located at 799 E Hampden Ave Ste 500 , Englewood CO 80113-2777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Mountain Blue Cancer Care Center Pc can be contacted via phone (303) 788-8675, or through Witta, Samir E via phone (303) 788-8675.

Contact Information

Primary practice address
799 E Hampden Ave Ste 500 Englewood CO 80113-2777
Phone: (303) 788-8675
Fax: (303) 788-8489
Website:
Map and Directions
Authorized official contact:
Name: Witta, Samir E Doctor of Medicine (MD)
Phone: (303) 788-8675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 39764 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X CO39762 Colorado

Profile Details

NPI number 1699009084
LBN Legal business name Mountain Blue Cancer Care Center Pc
DBA Doing business as
Authorized official Witta, Samir E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2009
Last updated Apr 30th, 2021 - about 4 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 1699009084 NPPES
Colorado MEDICAID 82076529

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