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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Colorectal Surgery at Castle Rock, AdventHealth Medical Group Colorectal at Castle Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(303) 320-0699
(303) 320-0897
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/12/2026
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