ROCKY MOUNTAIN CANCER CENTERS, LLP
NPI 1659974897
Radiology - Radiation Oncology in Pueblo, CO

Active since November 19, 2020CLIA 06D1055804 · Accreditation
3676 PARKER BLVD STE 350, PUEBLO, CO 81008(719) 296-6000(719) 545-1146 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rocky Mountain Cancer Centers, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKY MOUNTAIN CANCER CENTERS, LLP (NPI 1659974897) is a healthcare organization registered as a radiation oncology in Pueblo, Colorado and active in the NPI registry since November 2020. The organization holds an CLIA Accreditation certificate valid through September 12, 2027 and lists Froya Jesse, Senior Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1659974897
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameROCKY MOUNTAIN CANCER CENTERS, LLP
Location Address3676 PARKER BLVD STE 350Pueblo, CO 81008-2213
Mailing Address7951 E Maplewood Ave Ste 300Greenwood Village, CO 80111-4726 · (303) 930-7895 · Fax (303) 267-4477
Fax(719) 545-1146
Organization SubpartYes
Authorized OfficialFroya JesseSenior Credentialing Coordinator · (303) 930-7895
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1659974897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

3676 PARKER BLVD STE 350, Pueblo, CO 81008

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 06D1055804

Rocky Mountain Cancer Centers - Pueblo · Pueblo, CO
Active · expires Sep 12, 2027
CLIA Number06D1055804
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Travis Archuleta
Laboratory Phone(719) 296-6000
Laboratory LocationRocky Mountain Cancer Centers - Pueblo525 W 15th St, Suite 200, Pueblo, CO 81003
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
3676 PARKER BLVD STE 350
PUEBLO, CO 81008
Internal Medicine (Hematology & Oncology)
3676 PARKER BLVD STE 350
PUEBLO, CO 81008
Internal Medicine (Hematology & Oncology)
3676 PARKER BLVD STE 350
PUEBLO, CO 81008
Nurse Practitioner
3676 PARKER BLVD STE 350
PUEBLO, CO 81008
Internal Medicine (Medical Oncology)
3676 PARKER BLVD STE 350
PUEBLO, CO 81008
Orthopaedic Surgery
3676 PARKER BLVD STE 350
PUEBLO, CO 81008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659974897, enumerated as an "organization" on November 19, 2020.

The provider is located at 3676 PARKER BLVD STE 350 PUEBLO, CO 81008 and the phone number is (719) 296-6000.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.