Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Internal Medicine at Highlands Ranch, Centura Southpark Internal Medicine, SPIM S PARK INT MED
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
9088 RIDGELINE BLVD STE 201, HIGHLANDS RANCH, CO 80129-2380
(720) 266-6900
(303) 791-9920
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
08/13/2026
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