1720038946 NPI number — HCA HEALTHONE LLC

Table of content: (NPI 1720038946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720038946 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:
Provider Other Organization Name Type Code:
6
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:
1720038946
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1719 E 19TH 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:
80218-1235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-839-6100
Provider Business Mailing Address Fax Number:
303-869-2428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1719 E 19TH 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:
80218-1235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-839-6100
Provider Business Practice Location Address Fax Number:
303-869-2428
Provider Enumeration Date:
05/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SENSING
Authorized Official First Name:
PHILLIP
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
720-754-7009

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: 01200005 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02008597 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05014006 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0568543 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060014 . This is a "KAISWER SENIOR ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100704510C , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1010565 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 901290700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: PRE0014N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02223 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11192A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 267739 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 87012 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: A1226 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0060014 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0128310 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0707828 . This is a "AETNA HMO PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 108787800 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0376409 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05014006 . This is a "DENVER HEALTH MCO CHOICE" identifier . This identifiers is of the category "OTHER".




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