Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Primary Care at Founders, CRAH NHC FOUNDERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
1151 ALOHA ST, STE 100, CASTLE ROCK, CO 80108
(720) 330-1305
(720) 452-2079
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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