Healthcare Provider Details

I. General information

NPI: 1992925416
Provider Name (Legal Business Name): HCA HEALTHONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 HIGH ST
DENVER CO
80218-1307
US

IV. Provider business mailing address

1801 HIGH ST
DENVER CO
80218-1307
US

V. Phone/Fax

Practice location:
  • Phone: 303-869-2160
  • Fax:
Mailing address:
  • Phone: 303-869-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LORETTA BELEARDE
Title or Position: MANAGER
Credential:
Phone: 303-869-1830