Provider Demographics
NPI:1043856321
Name:HCA-HEALTHONE, LLC
Entity Type:Organization
Organization Name:HCA-HEALTHONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. CFO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-671-4942
Mailing Address - Street 1:1300 S POTOMAC ST STE 130
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4526
Mailing Address - Country:US
Mailing Address - Phone:303-695-2600
Mailing Address - Fax:
Practice Address - Street 1:1300 S POTOMAC ST STE 130
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4526
Practice Address - Country:US
Practice Address - Phone:303-695-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA-HEALTHONE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography