Basic Information
| Provider Information | |||||||||
| NPI: | 1629614904 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HCA-HEALTHONE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 INDIANA ST STE 210 | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804015044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038612663 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 INDIANA ST STE 210 | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804015044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038612663 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2019 | ||||||||
| LastUpdateDate: | 11/21/2019 | ||||||||
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| AuthorizedOfficialLastName: | SENSING | ||||||||
| AuthorizedOfficialFirstName: | PHILLIP | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 7207546000 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HCA-HEALTHONE, LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.