Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health - Porter Adventist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLAIR (CFO)
(303) 778-5893
Entity
Organization
Contact information
Practice address
2525 S. DOWNING ST., DENVER, CO 80210
(303) 778-1955
Mailing address
DEPT 105, DENVER, CO 80291-0105
(303) 778-1955
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05064001
—
CO
Enumeration date
09/21/2006
Last updated
08/22/2020
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