Provider Demographics
NPI:1699168807
Name:HCA HEALTHONE LLC
Entity type:Organization
Organization Name:HCA HEALTHONE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS IMP. DATA MNGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-788-2551
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE #360
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-788-2551
Mailing Address - Fax:
Practice Address - Street 1:4900 S MONACO ST
Practice Address - Street 2:SUITE #360
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3486
Practice Address - Country:US
Practice Address - Phone:303-788-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty