Provider Demographics
NPI:1265132187
Name:HCA HEALTHONE LLC
Entity type:Organization
Organization Name:HCA HEALTHONE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-225-1002
Mailing Address - Street 1:10107 RIDGEGATE PKWY STE G010
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5637
Mailing Address - Country:US
Mailing Address - Phone:720-225-1034
Mailing Address - Fax:
Practice Address - Street 1:10107 RIDGEGATE PKWY STE G010
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5637
Practice Address - Country:US
Practice Address - Phone:720-225-1034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTHONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-08
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit