| Portercare Adventist Health System | |
|
10371 S. Parkglenn Way Suite 230 Parker CO 80138 | |
| (303) 269-2525 | |
| (303) 269-2520 |
| Full Name | Portercare Adventist Health System |
|---|---|
| Speciality | Internal Medicine |
| Location | 10371 S. Parkglenn Way, Parker, Colorado |
| Authorized Official Name and Position | David P Hesselink (VP-FINANCE PE) |
| Authorized Official Contact | 3038048136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portercare Adventist Health System P.o. Box 911244 Denver CO 80291-1244 Ph: (303) 486-5401 | Portercare Adventist Health System 10371 S. Parkglenn Way Suite 230 Parker CO 80138 Ph: (303) 269-2525 |
| NPI Number | 1871822247 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871822247 | NPI | - | NPPES |
| 91306078 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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