Provider Demographics
NPI:1609813724
Name:HCA-HEALTHONE LLC
Entity Type:Organization
Organization Name:HCA-HEALTHONE LLC
Other - Org Name:NORTH SUBURBAN MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-450-4402
Mailing Address - Street 1:9191 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4361
Mailing Address - Country:US
Mailing Address - Phone:303-584-6227
Mailing Address - Fax:303-450-4458
Practice Address - Street 1:9191 GRANT ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4361
Practice Address - Country:US
Practice Address - Phone:303-584-6227
Practice Address - Fax:303-450-4458
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA-HEALTHONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
06T065Medicare Oscar/Certification