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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Primary Care at Crystal Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
4141 PLUM CREEK BLVD UNIT 200, CASTLE ROCK, CO 80104-4130
(720) 455-8003
(720) 985-2087
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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