Healthcare Provider Details

I. General information

NPI: 1619019098
Provider Name (Legal Business Name): HCAHEALTHONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14200 E ARAPAHOE RD
CENTENNIAL CO
80112-4065
US

IV. Provider business mailing address

14200 E ARAPAHOE RD
CENTENNIAL CO
80112-4065
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-3070
  • Fax: 303-699-3091
Mailing address:
  • Phone: 303-699-3070
  • Fax: 303-699-3091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number370000005
License Number StateCO

VIII. Authorized Official

Name: HILDA SCENET DALFONSO
Title or Position: CFO
Credential:
Phone: 361-761-1000