Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health - Porter Adventist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW GAASCH (CFO)
(303) 778-5893
Entity
Organization
Contact information
Practice address
2525 S DOWNING ST, DENVER, CO 80210-5817
(303) 778-1955
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1036
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05064001
—
CO
Enumeration date
08/04/2006
Last updated
07/06/2021
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