# PORTER ADVENTIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013178557
- **Authorized official:** MRS. HEIDI A BODE LPC (PSYCHOTHERAPIST)
- **Authorized official phone:** (303) 229-6692

## Contact information

- **Practice address:** 851 SLEEPY HOLLOW DR, BAILEY, CO 80421-2068
- **Practice address phone:** (303) 229-6692
- **Mailing address:** 851 SLEEPY HOLLOW DR, BAILEY, CO 80421-2068
- **Mailing address phone:** (303) 229-6692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 9706 | CO | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 02/15/2012