# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Medical Group OB Hospitalists at Avista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295603850
- **Authorized official:** JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
- **Practice address phone:** (303) 673-1100
- **Practice address fax:** (303) 673-1006
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325
- **Mailing address phone:** (800) 953-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025