HCA-HEALTHONE, LLC

Provider Demographics

• NPI: 1720038946
• Name: HCA-HEALTHONE, LLC
• Entity Type: Organization
• Organization Name: HCA-HEALTHONE, LLC
• Other - Org Name: PRESBYTERIAN/ST. LUKE'S MEDICAL CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: SHARI
• Authorized Official - Last Name: COLLIER
• Authorized Official - Phone: 720-754-7009
• Mailing Address - Street 1: 1719 E 19TH AVE
• Mailing Address - City: DENVER
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80218-1235
• Mailing Address - Country: US
• Mailing Address - Phone: 303-839-6100
• Mailing Address - Fax: 303-869-2428
• Practice Address - Street 1: 1719 E 19TH AVE
• Practice Address - City: DENVER
• Practice Address - State: CO
• Practice Address - Zip Code: 80218-1235
• Practice Address - Country: US
• Practice Address - Phone: 303-839-6100
• Practice Address - Fax: 303-869-2428
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-10
• Last Update Date: 2023-08-03

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	01617524	Medicaid
OH	0376409	Medicaid
IA	0568543	Medicaid
	378073604	Other	FEDERAL WORKERS COMP
NM	A1226	Medicaid
CT	003112670	Medicaid
NY	02008597	Medicaid
	060014	Other	KAISWER SENIOR ADVANTAGE
	0707828	Other	AETNA HMO PPO
OK	100704510C	Medicaid
AZ	525561	Medicaid
NC	9600014	Medicaid
VA	00600148	Medicaid
MO	012557401	Medicaid
SD	0128310	Medicaid
MT	0414596	Medicaid
TX	071696101	Medicaid
MN	182250100	Medicaid
CA	XHSP30078	Medicaid
CO	05014006	Medicaid
KS	100103460B	Medicaid
IN	200246860A	Medicaid
OR	267739	Medicaid
MI	304709773	Medicaid
WV	3810004135	Medicaid
GA	00713853X	Medicaid
KY	01200005	Medicaid
ND	02223	Medicaid
SC	11192A	Medicaid
LA	1748153	Medicaid
NJ	4077202	Medicaid
FL	901290700	Medicaid
	05014006	Other	DENVER HEALTH MCO CHOICE
WY	108787800	Medicaid
	00005CO	Other	BLUE CROSS
MA	1010565	Medicaid
TN	87012	Medicaid
AK	HS967OP	Medicaid
ID	002170700	Medicaid
VT	0060014	Medicaid
WA	3021151	Medicaid
AL	PRE0014N	Medicaid
AK	HS967OP	Medicaid
CA	XHSP30078	Medicaid
OH	0376409	Medicaid
MN	182250100	Medicaid
FL	901290700	Medicaid
	=========F01	Other	ROCKY MTN HEALTH PLANS
IL	=========004	Medicaid