1366499113 NPI number — HCA-HEALTHONE, LLC

Table of content: (NPI 1366499113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366499113 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:
AIRLIFE
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:
1366499113
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
750 POTOMAC ST STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80011-6744
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-338-7338
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 POTOMAC ST STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80011-6744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-338-7338
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEELEY
Authorized Official First Name:
HOLLIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
303-450-4402

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 105666200 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 154670715 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 804783 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806728000 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100704510E , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1101753 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9020370 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 956719400 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06060115 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100103460F , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 440657 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 814321373006 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: R8537 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0777740101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: XMTA05957 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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