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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Parent organization
PORTER ADVENTIST HEALTH SYSTEM
Other names
AdventHealth Surgery Center Boulder, Avista Surgery Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PORTER ADVENTIST HEALTH SYSTEM
Authorized official
JONATHAN ERICKSON (CFO)
(303) 673-1280
Entity
Organization

Contact information

Practice address
2525 4TH ST STE 201, BOULDER, CO 80304-4014
(303) 715-7000
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/13/2020
Last updated
05/21/2025
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