1801833934 NPI number — HCA-HEALTHONE LLC

Table of content: DR. CANDLAND LEE OLSEN DDS (NPI 1831396340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801833934 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:
THE MEDICAL CENTER OF AURORA
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:
1801833934
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 S POTOMAC ST
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:
80012-5411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-695-2834
Provider Business Mailing Address Fax Number:
866-282-0732

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 S POTOMAC ST
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:
80012-5411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-695-2834
Provider Business Practice Location Address Fax Number:
866-282-0732
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DEHAVEN
Authorized Official First Name:
BRYCE
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
303-695-2695

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)





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