Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AVISTA ADVENTIST MIDLEVEL ALLIED HEALTH PROFESSIONALS
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BUCHNOWSKI (COO)
(303) 804-8111
Entity
Organization
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1000
Mailing address
DEPT 1244, DENVER, CO 80291-1244
(303) 486-5401
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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