=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447979125
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HCA-HEALTHONE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2022
-----------------------------------------------------
Last Update Date | 10/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11230 BENTON ST STE 100
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80020-3275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-453-2705
-----------------------------------------------------
Fax | 303-453-2699
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11230 BENTON ST STE 100
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80020-3275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-453-2705
-----------------------------------------------------
Fax | 303-453-2699
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | HAYDEN HESSLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-788-5055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------