1659325629 NPI number — HCA-HEALTHONE, LLC

Table of content: (NPI 1659325629)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659325629 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:
SKY RIDGE 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:
1659325629
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:
10101 RIDGEGATE PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONE TREE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80124-5522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-225-1000
Provider Business Mailing Address Fax Number:
720-225-1009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10101 RIDGEGATE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONE TREE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80124-5522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-225-1000
Provider Business Practice Location Address Fax Number:
720-225-1009
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SAMMONS
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
720-225-1002

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: 0593954 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100704510I , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56557230 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56557230 . This is a "DENVER HEALTH MCD CHOICE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 0132510 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100103460G , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120912400 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 173474101/02 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 913175200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 023271 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025165000 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3224102 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 378073600 . This is a "FEDERAL WORKERS COMP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7550461 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: XHSP33709 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060112 . This is a "KAISER SENIOR ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 66277CO . This is a "BLUE CROSS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 035873 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 304726700 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 017885400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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