Portercare Adventist Health System
Family Medicine in Littleton, CO. Organization (NPI-2).
NPI number1144931908
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1144931908
- Entity type
- Organization (NPI-2)
- Legal business name
- Portercare Adventist Health System
- Organization subpart
- No
- Enumeration date
- Dec 12, 2022
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Prlt PC Lone Tree (Doing Business As)
- Adventhealth Medical Group Primary Care At Lone Tree (Other Name)
Practice location
9695 S Yosemite St Ste 385Littleton, CO 80124-2890
Phone 303-649-3140
Mailing address
Po Box 801106Kansas City, MO 64180-1106
Phone 800-953-0104 · Fax 303-765-6670
Authorized official
Angela Jo Skinner
Administrator, Oma
7206677283
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