Provider Demographics
NPI:1396790200
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:JAMIE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-788-5000
Mailing Address - Street 1:501 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2702
Mailing Address - Country:US
Mailing Address - Phone:303-788-5000
Mailing Address - Fax:303-788-6269
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-788-5000
Practice Address - Fax:303-788-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA000600342Medicaid
KY01250331Medicaid
WY109209000Medicaid
378073602OtherFEDERAL WORKERS COMP
NC9600034Medicaid
CAXHSP33228Medicaid
NY01711384Medicaid
IA0931444Medicaid
TX108672002Medicaid
CT003121986Medicaid
GA00721465XMedicaid
OH0383884Medicaid
MT0411632Medicaid
05034004OtherDENVER HEALTH MCO CHOICE
CO05034004Medicaid
KS100277330AMedicaid
NM77046Medicaid
TN11980Medicaid
AR139334105Medicaid
AZ156241Medicaid
ME666010027Medicaid
00060COOtherBLUE CROSS
060034OtherKAISER SENIOR ADVANTAGE
OK100704510BMedicaid
MI304709423Medicaid
SC10857AMedicaid
IN200097690AMedicaid
MN738748200Medicaid
WI81504500Medicaid
AKHS571OPMedicaid
VT0060034Medicaid
SD0121163Medicaid
LA1746355Medicaid
WA3018926Medicaid
MA7096470Medicaid
ID805605600Medicaid
OR000160Medicaid
NV001188244Medicaid
0066653OtherAETNA HMO PPO
MO011126604Medicaid
ND01447Medicaid
FL090520800Medicaid
PA1007735810003Medicaid
NH20001724Medicaid
NJ7396708Medicaid
ALSWE0034NMedicaid
ID805605600Medicaid
ALSWE0034NMedicaid
CO05034004Medicaid
AKHS571OPMedicaid