Healthcare Provider Details

I. General information

NPI: 1699168807
Provider Name (Legal Business Name): HCA HEALTHONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 S MONACO ST SUITE #360
DENVER CO
80237-3486
US

IV. Provider business mailing address

4900 S MONACO ST SUITE #360
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-2551
  • Fax:
Mailing address:
  • Phone: 303-788-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHLENE R. SMITH
Title or Position: CLINICAL OPERATIONS IMP. DATA MNGR
Credential:
Phone: 303-788-2551