NPI 1003446485

Portercare Adventist Health System

Organisation Family Medicine Physician Elizabeth, CO

Practice location

Address: 240 Elizabeth St STE B, Elizabeth, CO 80107-7546
Phone: (303) 269-2551
Fax: (303) 269-2552
Mailing address: PO Box 801106, Kansas City, MO 64180-1106

Authorised official

Name: Jason Tacha
Title: Coo
Phone: (303) 304-7752

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Colorado →

Registry record

NPI: 1003446485
Entity type: Organization
NPI issued: 24 Jan 2020
Record last updated: 19 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.