Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
TPPC TRANSPLANT PUEBLO, Centura Transplant Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
1020 LAKEVIEW AVE, PUEBLO, CO 81004-3508
(303) 778-5797
(303) 778-5205
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
06/23/2026
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