Provider Demographics
NPI:1659325629
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:
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:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ035873Medicaid
060112OtherKAISER SENIOR ADVANTAGE
NE10025165000Medicaid
3224102OtherAETNA HMO
CAXHSP33709Medicaid
7550461OtherAETNA PPO
SD0132510Medicaid
WY120912400Medicaid
378073600OtherFEDERAL WORKERS COMP
CO56557230OtherDENVER HEALTH MCD CHOICE
FL913175200Medicaid
OR023271Medicaid
IA0593954Medicaid
KS100103460GMedicaid
OK100704510IMedicaid
CO66277COOtherBLUE CROSS
TX173474101/02Medicaid
MI304726700Medicaid
CO56557230Medicaid
AZ035873Medicaid
IA0593954Medicaid
WY120912400Medicaid
TX173474101/02Medicaid
UT=========002Medicaid
TX173474101/02Medicaid