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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Family Medicine at Cherry Creek, Centura Cherry Creek Family Practice, FPCC FP CHERRY CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
425 S CHERRY ST STE 410, GLENDALE, CO 80246-1231
(303) 333-3388
(303) 333-5094
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
08/12/2026
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