Basic Information
| Provider Information | |||||||||
| NPI: | 1871157297 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HCA-HEALTHONE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22500 E DRY CREEK RD | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800162120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203766400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22500 E DRY CREEK RD | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800162120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203766400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2019 | ||||||||
| LastUpdateDate: | 05/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | DEHAVEN | ||||||||
| AuthorizedOfficialFirstName: | BRYCE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 3036952695 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HCA-HEALTHONE LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QE0002X | Y | Ambulatory Health Care Facilities | Clinic/Center | Emergency Care |
No ID Information.