Portercare Adventist Health System
Surgery in Louisville, CO. Organization (NPI-2).
NPI number1053920165
StatusActive
Last updated in NPPESJul 24, 2020
Details
- NPI
- 1053920165
- Entity type
- Organization (NPI-2)
- Legal business name
- Portercare Adventist Health System
- Organization subpart
- No
- Enumeration date
- Jul 24, 2020
- Certification date
- Jul 24, 2020
- Last updated
- Jul 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Bcav Breastcare Avista (Doing Business As)
- Centura Health Physician Group Center For Breast Care Pahs (Other Name)
Practice location
80 Health Park Dr Ste 270Louisville, CO 80027-4644
Phone 303-925-4030 · Fax 303-661-1856
Mailing address
Po Box 801106Kansas City, MO 64180-1106
Phone 800-953-0104 · Fax 303-765-6670
Authorized official
Angela J Skinner
Administrator, Oma
3036737175
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