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Contact Information

DURANGO CANCER CENTER PC
1 MERCADO ST
SUITE 100
DURANGO, CO81301-7306
 Phone: 970-385-4746
 Fax: 970-259-5787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for DURANGO CANCER CENTER PC

NPI # 1407861263
LBN Legal business name DURANGO CANCER CENTER PC
Authorized official STEVEN BUSH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 01/26/2011 - About 15 years ago
Identifiers
CO Medicaid 04013058
NM Medicaid G2317
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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