| Portercare Adventist Health System | |
|
240 Elizabeth St Ste B Elizabeth CO 80107-7546 | |
| (303) 269-2551 | |
| (303) 269-2552 |
| Full Name | Portercare Adventist Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 240 Elizabeth St Ste B, Elizabeth, 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 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | Portercare Adventist Health System 240 Elizabeth St Ste B Elizabeth CO 80107-7546 Ph: (303) 269-2551 |
| NPI Number | 1003446485 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003446485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elizabeth Family Health Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34061 Forest Park Dr, Elizabeth, CO 80107 Phone: 303-646-4071 Fax: 303-646-0908 |