NPI 1245993666

Portercare Adventist Health System

Organisation Transplant Surgery Physician Pueblo, CO

Practice location

Address: 1020 Lakeview Ave, Pueblo, CO 81004-3508
Phone: (303) 778-5797
Fax: (303) 778-5205
Mailing address: PO Box 713425, Chicago, IL 60677-4325

Authorised official

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

Registered specialties

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X

Other Transplant Surgery providers in Colorado →

Registry record

NPI: 1245993666
Entity type: Organization
NPI issued: 21 Oct 2021
Record last updated: 23 Jun 2026

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.