1023062098 NPI number — HCA-HEALTHONE, LLC

Table of content: (NPI 1023062098)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023062098 NPI number — HCA-HEALTHONE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCA-HEALTHONE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ROSE MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023062098
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4567 E 9TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80220-3908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-320-2394
Provider Business Mailing Address Fax Number:
303-320-2200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4567 E 9TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80220-3908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-320-2394
Provider Business Practice Location Address Fax Number:
303-320-2200
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COOK
Authorized Official First Name:
LYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
804-267-3996

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01470 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 113107900 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139151105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 378073603 . This is a "FEDERAL WORKERS COMP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410652 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9810405000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00058CO . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00369278X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP33276 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000600326 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01200385 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060032 . This is a "KAISER SENIOR ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 071704301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11986 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3021193 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 919548300 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: COL0032N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016654501 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 738500500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS535OP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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