Provider Demographics
NPI:1477592566
Name:HCA HEALTHONE LLC
Entity Type:Organization
Organization Name:HCA HEALTHONE LLC
Other - Org Name:THE MEDICAL CENTER OF AURORA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DEHAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-695-2695
Mailing Address - Street 1:1501 S POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5411
Mailing Address - Country:US
Mailing Address - Phone:303-695-2834
Mailing Address - Fax:866-282-0732
Practice Address - Street 1:700 S. POTOMAC STREET
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6844
Practice Address - Country:US
Practice Address - Phone:303-695-2834
Practice Address - Fax:866-282-0732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTHONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-05
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
06S100Medicare Oscar/Certification