Provider Demographics
NPI:1245211523
Name:HEALTHONE CLINIC SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHONE CLINIC SERVICES LLC
Other - Org Name:HEALTHONE OCCUPATIONAL MEDICAL CENTERS - CENTENNIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTILAING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-584-8000
Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-218-4250
Mailing Address - Fax:303-218-4247
Practice Address - Street 1:14000 E ARAPAHOE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4044
Practice Address - Country:US
Practice Address - Phone:303-218-4250
Practice Address - Fax:303-218-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty