Provider Demographics
NPI:1659325629
Name:HCA-HEALTHONE, LLC
Entity Type:Organization
Organization Name:HCA-HEALTHONE, LLC
Other - Org Name:SKY RIDGE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-225-1002
Mailing Address - Street 1:10101 RIDGEGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5522
Mailing Address - Country:US
Mailing Address - Phone:720-225-1000
Mailing Address - Fax:720-225-1009
Practice Address - Street 1:10101 RIDGEGATE PKWY
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5522
Practice Address - Country:US
Practice Address - Phone:720-225-1000
Practice Address - Fax:720-225-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0593954Medicaid
OK100704510IMedicaid
CO56557230Medicaid
CO56557230OtherDENVER HEALTH MCD CHOICE
SD0132510Medicaid
KS100103460GMedicaid
WY120912400Medicaid
TX173474101/02Medicaid
FL913175200Medicaid
OR023271Medicaid
NE10025165000Medicaid
3224102OtherAETNA HMO
378073600OtherFEDERAL WORKERS COMP
7550461OtherAETNA PPO
CAXHSP33709Medicaid
060112OtherKAISER SENIOR ADVANTAGE
CO66277COOtherBLUE CROSS
AZ035873Medicaid
MI304726700Medicaid
AZ035873Medicaid
IA0593954Medicaid
WY120912400Medicaid
TX173474101/02Medicaid
UT=========002Medicaid
TX173474101/02Medicaid