Healthcare Provider Details
I. General information
NPI: 1609412980
Provider Name (Legal Business Name): HCA-HEALTHONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2019
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14100 E ARAPAHOE RD STE 120
CENTENNIAL CO
80112-4028
US
IV. Provider business mailing address
14100 E ARAPAHOE RD STE 120
CENTENNIAL CO
80112-4028
US
V. Phone/Fax
- Phone: 303-695-2600
- Fax:
- Phone: 303-695-2600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HILDA
SCENET
DALFONSO
Title or Position: CFO
Credential:
Phone: 361-761-1000