# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Medical Group Primary Care at Founders, CRAH NHC FOUNDERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275357576
- **Authorized official:** MR. JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 1151 ALOHA ST, STE 100, CASTLE ROCK, CO 80108
- **Practice address phone:** (720) 330-1305
- **Practice address fax:** (720) 452-2079
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 11/13/2024