# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLEMENT PARK FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164792743
- **Authorized official:** DAVID P HESSELINK (VP-FINANCE PE)
- **Authorized official phone:** (303) 804-8136

## Contact information

- **Practice address:** 6901 SOUTH PIERCE ST., SUITE 110, LITTLETON, CO 80128
- **Practice address phone:** (303) 932-2121
- **Practice address fax:** (303) 948-6704
- **Mailing address:** P.O. BOX 911244, DENVER, CO 80291-1244
- **Mailing address phone:** (303) 486-5401
- **Mailing address fax:** (303) 486-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 05/09/2012