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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
AdventHealth Transplant Institute North Cheyenne
Organization subpart
No

Provider details

NPI number
Authorized official
JASON TACHA (COO)
(303) 304-7752
Entity
Organization

Contact information

Practice address
1760 PRAIRIE AVE STE 100, CHEYENNE, WY 82009-4833
(303) 778-5797
(303) 778-5205
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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