| Portercare Adventist Health System | |
|
90 Health Park Dr Ste 130 Louisville CO 80027-9586 | |
| (303) 661-4100 | |
| (303) 269-2094 |
| Full Name | Portercare Adventist Health System |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 90 Health Park Dr Ste 130, Louisville, Colorado |
| Authorized Official Name and Position | Jason Tacha (COO) |
| Authorized Official Contact | 3033047752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portercare Adventist Health System Po Box 713425 Chicago IL 60677-4325 Ph: (800) 953-0104 | Portercare Adventist Health System 90 Health Park Dr Ste 130 Louisville CO 80027-9586 Ph: (303) 661-4100 |
| NPI Number | 1336077627 |
|---|---|
| Provider Enumeration Date | 05/08/2026 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336077627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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