1821042979 NPI number — HCA HEALTHONE LLC

Table of content: (NPI 1821042979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821042979 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:
NORTH SUBURBAN 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:
1821042979
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9191 GRANT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THORNTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80229-4361
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-451-7800
Provider Business Mailing Address Fax Number:
303-450-4458

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9191 GRANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THORNTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80229-4361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-451-7800
Provider Business Practice Location Address Fax Number:
303-450-4584
Provider Enumeration Date:
05/22/2006

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: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00865587X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 16887408 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1700282 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 81552200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060065 . This is a "KAISER SENIOR ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00051CO . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00076944 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02419689 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05065008 . This is a "DENVER HEALTH MCO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100103460D , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108674602 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116089300 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 805605700 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9600065 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0129222 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05065008 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0581496 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100704510H , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 152296105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 283055800 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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