# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PORTER ADVENTIST HEALTH SYSTEM
- **Other names:** AdventHealth Surgery Center Boulder, Avista Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962042499
- **Legal business name:** PORTER ADVENTIST HEALTH SYSTEM
- **Authorized official:** JONATHAN ERICKSON (CFO)
- **Authorized official phone:** (303) 673-1280

## Contact information

- **Practice address:** 2525 4TH ST STE 201, BOULDER, CO 80304-4014
- **Practice address phone:** (303) 715-7000
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2020
- **Last updated:** 05/21/2025