# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PSPA PAIN SPEC PAH, Dimensions Pain Management at PAH, Centura Medical Group Pain Specialists Porter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811507924
- **Authorized official:** MR. JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 2535 S DOWNING ST STE 180, DENVER, CO 80210-5863
- **Practice address phone:** (303) 715-7670
- **Practice address fax:** (303) 715-7671
- **Mailing address:** PO BOX 801106, KANSAS CITY, MO 64180-1106
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 05/14/2024