Portercare Adventist Health System

NPI #1003446485 in Elizabeth, Colorado

Provider Information

NPI Number: 1003446485
Entity Type: Organization
Organization Name: Portercare Adventist Health System
Primary Specialty: Family Medicine
Enumeration Date: Jan 24, 2020
Last Updated: Mar 19, 2024

Practice Location

Address: 240 ELIZABETH ST STE B
City: Elizabeth
State: Colorado
ZIP Code: 80107-7546
Phone: (303) 269-2551

Authorized Official

Name: MR. JASON TACHA
Title: COO
Phone: (303) 304-7752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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