Healthone Clinic Services - Oncology Hematology LLC
Internal Medicine, Hematology in Pueblo, CO. Organization (NPI-2).
NPI number1164058913
StatusActive
Last updated in NPPESMar 12, 2020
Details
- NPI
- 1164058913
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthone Clinic Services - Oncology Hematology LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 12, 2020
- Certification date
- Mar 12, 2020
- Last updated
- Mar 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0000X | Internal Medicine, Hematology | – | – | Yes |
Practice location
3678 Parker BlvdPueblo, CO 81008
Phone 720-754-4800
Mailing address
2000 Health Park DrBrentwood, TN 37027-4525
Phone 615-372-5426
Authorized official
William M Smitham
Vice President
3035848119
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