1396790200 NPI number — HCA HEALTHONE LLC

Table of content: (NPI 1396790200)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396790200 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:
1396790200
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 E HAMPDEN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80113-2702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-788-5000
Provider Business Mailing Address Fax Number:
303-788-6269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 E HAMPDEN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80113-2702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-788-5000
Provider Business Practice Location Address Fax Number:
303-788-6269
Provider Enumeration Date:
05/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIBBS
Authorized Official First Name:
JAMIE
Authorized Official Middle Name:
LEIGH
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
303-788-5000

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: 000600342 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01250331 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 109209000 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 378073602 . This is a "FEDERAL WORKERS COMP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9600034 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP33228 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01711384 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0931444 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108672002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003121986 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00721465X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0383884 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0411632 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05034004 . This is a "DENVER HEALTH MCO CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 05034004 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100277330A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 77046 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11980 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139334105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 156241 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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