Portercare Adventist Health System
Surgery in Louisville, CO. Organization (NPI-2).
NPI number1740141829
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1740141829
- Entity type
- Organization (NPI-2)
- Legal business name
- Portercare Adventist Health System
- Organization subpart
- No
- Enumeration date
- Nov 19, 2025
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Adventhealth Medical Group General Surgery At Louisville (Doing Business As)
Practice location
80 Health Park Dr Ste 270Louisville, CO 80027-4644
Phone 303-734-2023 · Fax 720-896-4018
Mailing address
Po Box 713425Chicago, IL 60677-4325
Phone 800-953-0104
Authorized official
Jason Tacha
Coo
3033047752
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Surgery Physician providers in Louisville · All 1,108 providers in Louisville
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