Provider Demographics
NPI:1659327013
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:HILDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-761-1000
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 1:1501 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5411
Practice Address - Country:US
Practice Address - Phone:303-695-2834
Practice Address - Fax:866-282-0732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007735810008Medicaid
ID805109800Medicaid
WI81072600Medicaid
OR000701Medicaid
NV001188540Medicaid
NJ0038903Medicaid
AR139757105Medicaid
TN60100Medicaid
ALTHE0100NMedicaid
NM000E1282Medicaid
NY00776554Medicaid
ND01310Medicaid
AZ122630Medicaid
WA3021144Medicaid
WV3810004135Medicaid
VA00601055Medicaid
KY01200161Medicaid
MT0417391Medicaid
TX107806501Medicaid
WY114756100Medicaid
MN183550500Medicaid
NH20001786Medicaid
AKHS447OPMedicaid
SD0128640Medicaid
OK100704510DMedicaid
LA1763403Medicaid
CAXHSP30795Medicaid
CT03106285Medicaid
CO05000104Medicaid
IA0914010Medicaid
IN100035310AMedicaid
MA1010557ZOMedicaid
SC10484BMedicaid
DE0001036805Medicaid
VT0060100Medicaid
GA00638987XMedicaid
0676730OtherAETNA HMO PPO
MI304709657Medicaid
00066COOtherBLUE CROSS
MO013192703Medicaid
OH0949559Medicaid
KS100277330CMedicaid
ME109820003Medicaid
MD122895100Medicaid
FL912017300Medicaid
NC9600100Medicaid
CO05000104Medicaid
NH20001786Medicaid
ID805109800Medicaid
WI81072600Medicaid