# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH QUEBEC FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326310558
- **Authorized official:** DAVID P. HESSELINK (VP-FINANCE PE)
- **Authorized official phone:** (303) 804-8136

## Contact information

- **Practice address:** 6081 SOUTH QUEBEC ST., SUITE 110, CENTENNIAL, CO 80111
- **Practice address phone:** (303) 770-5600
- **Practice address fax:** (303) 770-2211
- **Mailing address:** P.O. BOX 911244, DENVER, CO 80291-1244
- **Mailing address phone:** (303) 486-5401
- **Mailing address fax:** (303) 347-9912

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 05/09/2012