Portercare Adventist Health System

NPI #1962042499 in Boulder, Colorado

Provider Information

NPI Number
1962042499
Entity Type
Organization
Organization Name
Portercare Adventist Health System
Subpart
Yes (part of a larger organization)
Parent Organization
PORTER ADVENTIST HEALTH SYSTEM
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 13, 2020
Last Updated
May 21, 2025

Practice Location

Address
2525 4TH ST STE 201
ZIP Code
80304-4014
Phone
(303) 715-7000

Authorized Official

Name
JONATHAN ERICKSON
Title
CFO
Phone
(303) 673-1280

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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