Provider Demographics
NPI:1871157297
Name:HCA-HEALTHONE LLC
Entity type:Organization
Organization Name:HCA-HEALTHONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-695-2695
Mailing Address - Street 1:22500 E DRY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2120
Mailing Address - Country:US
Mailing Address - Phone:720-376-6400
Mailing Address - Fax:
Practice Address - Street 1:22500 E DRY CREEK RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2120
Practice Address - Country:US
Practice Address - Phone:720-376-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA-HEALTHONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care