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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CHPG Primary Care Aspen Creek, AdventHealth Medical Group Family Medicine at South Parker, PRAC PC ASPEN CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
19641 E PARKER SQUARE DR STE A, PARKER, CO 80134-7397
(303) 840-3800
(303) 840-8442
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
09/18/2020
Last updated
08/12/2026
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