Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Gastroenterology at Crystal Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
4141 PLUM CREEK BLVD UNIT 200, CASTLE ROCK, CO 80104-4130
(720) 455-3879
(720) 455-3791
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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