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 is a Transplant Surgery Physician 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