Organization · Type 2 NPI
Portercare Adventist Health System
Ambulatory Surgical Clinic/Center · Boulder, CO
NPI number
1962042499
Active
Practice location
2525 4th St Ste 201
Boulder, CO 80304-4014
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1962042499
Portercare Adventist Health System's National Provider Identifier is 1962042499, issued on Jan 13, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Boulder, CO. The record was last updated on May 21, 2025.