# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Change DBA to: Highlands Ranch Women's Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780823740
- **Authorized official:** RENAE W PEMBERTON (VP)
- **Authorized official phone:** (303) 804-8124

## Contact information

- **Practice address:** 8671 S QUEBEC ST, SUITE 220, HIGHLANDS RANCH, CO 80130
- **Practice address phone:** (303) 346-4444
- **Practice address fax:** (303) 346-4411
- **Mailing address:** DEPT 1244, DENVER, CO 80291-0001
- **Mailing address phone:** (303) 486-5500
- **Mailing address fax:** (303) 486-5501

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 06/17/2011