MEDICARE: HCA-HEALTHONE, LLC DBA ROSE FAMILY MEDICINE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1558402933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HCA-HEALTHONE, LLC DBA ROSE FAMILY MEDICINE CENTER

Provider Business Mailing Address
First Line	:	2149 S HOLLY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5601
Country	:	US
Telephone Number	:	303-584-7900
Fax Number	:	303-584-7960

Provider Business Practice Location Address
First Line	:	2149 S HOLLY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5601
Country	:	US
Telephone Number	:	303-584-7900
Fax Number	:	303-584-7960

Authorized Official
Title or Position	:	CFO
Name	:	NATALIE PACK
Credential	:
Telephone Number	:	713-527-5008

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	10/23/2024

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