# HEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225656465
- **Legal business name:** HEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
- **Authorized official:** WILLIAM M SMITHAM (VICE PRESIDENT)
- **Authorized official phone:** (303) 584-8119

## Contact information

- **Practice address:** 2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
- **Practice address phone:** (720) 754-2155
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020