# PORTERCARE ADVENTIST HEALTH SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** 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:** 1174280424
- **Authorized official:** MR. JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 425 S CHERRY ST STE 410, GLENDALE, CO 80246-1231
- **Practice address phone:** (303) 333-3388
- **Practice address fax:** (303) 333-5094
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2021
- **Last updated:** 08/12/2026