HCA HEALTHONE LLC

Provider Demographics

• NPI: 1659327013
• Name: HCA HEALTHONE LLC
• Entity type: Organization
• Organization Name: HCA HEALTHONE LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: HILDA
• Authorized Official - Middle Name: S
• Authorized Official - Last Name: DALFONSO
• Authorized Official - Phone: 361-761-1000
• Mailing Address - Street 1: 1501 S POTOMAC ST
• 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 - 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
• Enumeration Date: 2006-05-26
• Last Update Date: 2024-10-23

Provider Taxonomies

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

Provider Identifiers

State	Identifier ID	ID Type	Issuer
VT	0060100	Medicaid
VA	00601055	Medicaid
KS	100277330C	Medicaid
OK	100704510D	Medicaid
AZ	122630	Medicaid
MD	122895100	Medicaid
ID	805109800	Medicaid
NJ	0038903	Medicaid
MN	183550500	Medicaid
FL	912017300	Medicaid
CA	XHSP30795	Medicaid
NM	000E1282	Medicaid
GA	00638987X	Medicaid
OH	0949559	Medicaid
SC	10484B	Medicaid
AR	139757105	Medicaid
NC	9600100	Medicaid
DE	0001036805	Medicaid
NV	001188540	Medicaid
SD	0128640	Medicaid
MT	0417391	Medicaid
	0676730	Other	AETNA HMO PPO
TX	107806501	Medicaid
WA	3021144	Medicaid
TN	60100	Medicaid
IA	0914010	Medicaid
IN	100035310A	Medicaid
PA	1007735810008	Medicaid
MA	1010557ZO	Medicaid
ME	109820003	Medicaid
WY	114756100	Medicaid
AL	THE0100N	Medicaid
AK	HS447OP	Medicaid
	00066CO	Other	BLUE CROSS
NY	00776554	Medicaid
ND	01310	Medicaid
CT	03106285	Medicaid
CO	05000104	Medicaid
WV	3810004135	Medicaid
WI	81072600	Medicaid
OR	000701	Medicaid
KY	01200161	Medicaid
MO	013192703	Medicaid
LA	1763403	Medicaid
NH	20001786	Medicaid
MI	304709657	Medicaid
CO	05000104	Medicaid
NH	20001786	Medicaid
ID	805109800	Medicaid
WI	81072600	Medicaid