Organization · Type 2 NPI

Portercare Adventist Health System

Family Medicine Physician · Erie, CO

NPI number 1124323076 Active

Practice location

611 Mitchell Way Ste 103
Erie, CO 80516-5443

Call (303) 269-2780 Map

Fax (303) 269-2790

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family 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.

5 other providers at this address

Other family medicine physician providers in Erie

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NPI record

NPI: 1124323076
Entity type: Organization (Type 2)
Issued: Jan 24, 2011
Last updated: Aug 12, 2026
Status: Active

Other names

<unavail>
Afme PC Erie · doing business as
Adventhealth Medical Group Family Medicine at Erie · doing business as

Authorized official

Mr. Jason Tacha
COO
(303) 304-7752

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124323076

Portercare Adventist Health System's National Provider Identifier is 1124323076, issued on Jan 24, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Erie, CO. The record was last updated on Aug 12, 2026.