PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1962042499
Clinic/Center - Ambulatory Surgical in Boulder, CO

Active since January 13, 2020
2525 4TH ST STE 201, BOULDER, CO 80304(303) 715-7000 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Mar 4, 2024, Aug 21, 2023 and 3 more (6 updates tracked since 2020).

About Portercare Adventist Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1962042499), doing business as Avista Surgery Center, is a healthcare organization registered as an ambulatory surgical in Boulder, Colorado and active in the NPI registry since January 2020. The organization lists Jonathan Erickson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962042499
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address2525 4TH ST STE 201Boulder, CO 80304-4014
Mailing AddressPo Box 713425Chicago, IL 60677-4325
Organization SubpartYesParent: Porter Adventist Health System
Authorized OfficialJonathan EricksonCfo · (303) 673-1280
Enumeration DateJanuary 13, 2020
Last NPPES UpdateMay 21, 20256 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1962042499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2525 4TH ST STE 201, Boulder, CO 80304

Other Names 2

Doing Business AsAvista Surgery Center
Other NameAdventhealth Surgery Center Boulder

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1962042499. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as Avista Surgery Center. The provider is also known as AdventHealth Surgery Center Boulder.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 2525 4th St Ste 201, Boulder, CO 80304. The listed phone number is (303) 715-7000.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.