Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portercare Adventist Health System

Organization Family Medicine Physician · NPI 1003446485

Portercare Adventist Health System provides Family Medicine Physician services in Elizabeth, Colorado. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

240 Elizabeth St Ste B
Elizabeth, CO 80107-7546
Phone: (303) 269-2551
Fax: (303) 269-2552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003446485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Tacha — Coo · (303) 304-7752
Other names Prel Pc Elizabeth; Centura Medical Group Primary Care Elizabeth
NPI enumeratedJanuary 24, 2020
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing addressPo Box 801106, Kansas City, MO 64180-1106

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