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General NPI Number Information
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NPI Number | 1710080171
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Entity Type | Organization
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Legal Business Name | PORTER ADVENTIST HEALTH SYSTEM
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 5020 E ARAPAHOE RD
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City | LITTLETON
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State | CO
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Zip | 80122-2302
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Country | US
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Telephone | 303-694-3545
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Fax | 303-694-5103
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Provider Business Mailing Address
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Address Line | 1391 SPEER BLVD SUITE 600
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City | DENVER
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State | CO
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Zip | 80204-2508
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Country | US
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Telephone | 303-561-5000
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Fax | 303-561-5050
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Authorized Official
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Title or Position | CFO
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Name | JEREMY PITTMAN
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Credential |
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Telephone | 303-643-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0696
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License Number State | CO
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