PORTERCARE ADVENTIST HEALTH SYSTEM NPI 1003446485

Family Medicine in Elizabeth, CO

Organization Family Medicine

About PORTERCARE ADVENTIST HEALTH SYSTEM

Portercare Adventist Health System is a provider established in Elizabeth, Colorado specializing in family medicine. The NPI number of Portercare Adventist Health System is 1003446485 and was assigned on January 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated January 2020. Portercare Adventist Health System operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Angela J Skinner (Administrator, Oma)

NPI

1003446485

Provider NamePORTERCARE ADVENTIST HEALTH SYSTEM
Provider Location Address210 ELIZABETH ST STE B ELIZABETH, CO 80107
Provider Mailing AddressPO BOX 911244 DENVER, CO 80291
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-24-2020
Last Update Date01-24-2020

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

PORTERCARE ADVENTIST HEALTH SYSTEM
210 ELIZABETH ST STE B
ELIZABETH, CO
ZIP 80107
Phone: (303) 269-2551
Fax: (303) 269-2552

Get Directions

Mailing Address

PORTERCARE ADVENTIST HEALTH SYSTEM
PO BOX 911244
DENVER, CO
ZIP 80291
Phone: (800) 953-0104
Fax: (303) 765-6640

Authorized Official

Authorized Official Name ANGELA J SKINNER
Authorized Official TitleADMINISTRATOR, OMA
Authorized Official Phone(303) 673-7175

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.