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

Portercare Adventist Health System

Organization Transplant Surgery Physician · NPI 1245993666

Portercare Adventist Health System provides Transplant Surgery Physician services in Pueblo, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1020 Lakeview Ave
Pueblo, CO 81004-3508
Phone: (303) 778-5797
Fax: (303) 778-5205
Show map & directions

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

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X

Record details

NPI number1245993666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Tacha — Coo · (303) 304-7752
Other names Tppc Transplant Pueblo; Centura Transplant Pueblo
NPI enumeratedOctober 21, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing addressPo Box 713425, Chicago, IL 60677-4325