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 is a Family Medicine Physician 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

Other providers in Elizabeth