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Portercare Adventist Health System

Obstetrics & Gynecology in Westminster, CO. Organization (NPI-2).

NPI number1164038824
StatusActive
Last updated in NPPESAug 13, 2026

Details

NPI
1164038824
Entity type
Organization (NPI-2)
Legal business name
Portercare Adventist Health System
Organization subpart
No
Enumeration date
Sep 18, 2020
Certification date
Aug 13, 2026
Last updated
Aug 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes

Other names

  • Adventhealth Medical Group Ob/Gyn At Church Ranch (Doing Business As)

Practice location

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Phone 303-925-4108 · Fax 303-925-4021

Mailing address

Po Box 713425
Chicago, IL 60677-4325

Phone 800-953-0104 · Fax 303-765-6670

Authorized official

Jason Tacha
Coo
3033047752

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