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

Portercare Adventist Health System

Organization Ambulatory Surgical Clinic/Center · NPI 1962042499

Portercare Adventist Health System is an Ambulatory Surgical Clinic/Center in Boulder, Colorado. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2525 4th St Ste 201
Boulder, CO 80304-4014
Phone: (303) 715-7000
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1962042499
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPorter Adventist Health System
Authorized official Jonathan Erickson — Cfo · (303) 673-1280
Other names Avista Surgery Center; Avista Surgery Center; Adventhealth Surgery Center Boulder
NPI enumeratedJanuary 13, 2020
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing addressPo Box 713425, Chicago, IL 60677-4325

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