RCOA IMAGING SERVICES, INC (NPI# 1750344537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750344537 |
| Entity Type | Organization |
| Organization Name | RCOA IMAGING SERVICES, INC |
| Practice Address |
1008 Minnequa Ave Pueblo CO 81004-3733 |
| Mailing Address |
Po Box 850001 Orlando FL 32885-0375 |
| Practice Telephone | 8662933500 |
| Practice Fax Number | 8662933535 |
| Mailing Telephone | 8662933500 |
| Mailing Fax Number | 8662933535 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DERRICK R MOORE (VP OF ACCOUNTING AND FINANCE) |
| Authorized Official Telephone | 5614773500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
1005-01 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ANTHEM BCBS PROVIDER # | 663825 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326001199 | Rcoa Imaging Services, Inc | Clinic/Center | 305 S 5th St, Enid, OK 73701-5832 | 2006-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RCOA IMAGING SERVICES, INC. | 16110 Jog Rd Ste 200, Delray Beach, FL 33446 |
| Oklahoma Business Registrations | RCOA IMAGING SERVICES, INC. | 7900 Glades Rd Ste 400, Boca Raton, FL 33434 |
| Colorado Business Entities | RCOA IMAGING SERVICES, INC. | 16110 Jog Road, Suite 200, Delray Beach, FL 33446 |
| Street Address |
1008 MINNEQUA AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
| 1497360705 | Catholic Health Initiatives Colorado | Internal Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-09-14 |
| 1649894833 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-06-03 |
| 1932735321 | Usacs of Colorado Inc | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-03-17 |
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1225543630 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-12-07 |
| 1467985713 | Richard Wayne Tsambikos | General Practice | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-04-04 |
| 1053859983 | Danielle Marie Sanders | Nurse Practitioner | 1008 Minnequa Ave, Pueblo, CO 81004 | 2017-02-12 |
| 1497207336 | April Irvine | Dietitian, Registered | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-10-26 |
| 1750737862 | Trevor Wilson Halle | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760711360 | Sound Diagnostic Imaging, Inc | Clinic/Center | 4105 Muirfield Ct, Pueblo, CO 81001-1107 | 2009-12-11 |
| 1891125217 | Aim Diagnostics LLC | Clinic/Center | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322834 | Rocky Mountain Eeg LLC | Clinic/Center | 224 E Willamette Ave Ofc 8, Colorado Springs, CO 80903-1114 | 2020-10-06 |
| 1629618558 | Remote Access Diagnostic Services | Clinic/Center | 14221 E 4th Ave Ste 2-221, Aurora, CO 80011-8735 | 2020-01-08 |
| 1952949521 | George J Martinez | Clinic/Center | 12516 Bryant St, Broomfield, CO 80020-3844 | 2019-12-14 |
| 1881892693 | Cronos-prim Colorado LLC | Clinic/Center | 1200 S. Monaco Pkwy Unit 19, Denver, CO 80224 | 2007-07-03 |
| 1073645040 | Colorado Sonographics Inc | Clinic/Center | 549 Wild Ridge Ln, Lafayette, CO 80026-2568 | 2007-03-12 |
| 1770108276 | Pdi Health Co LLC | Clinic/Center | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| 1972086239 | Precision Clinical Diagnostics | Clinic/Center | 11275 E Mississippi Ave Ste 2w1, Aurora, CO 80012-2828 | 2018-09-12 |
| 1518265206 | Aid Health | Clinic/Center | 730 Eudora St, Denver, CO 80220-5116 | 2011-03-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.