NPIMap

Organization Active NPI

Portercare Adventist Health System

Doing business as Centura Health - Porter Adventist Hospital

  • Rehabilitation Hospital Unit
  • Denver, CO
National Provider Identifier
1225046006
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
1036 Issued in CO
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
Centura Health - Porter Adventist Hospital
Practice address
2525 S Downing St
Denver, CO 80210-5817
Phone
(303) 778-1955
NPI assigned
Aug 4, 2006
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew Gaasch
Title
Cfo
Phone
(303) 778-5893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 1036 CO Primary

Addresses

Primary practice location

2525 S Downing St
Denver, CO 80210-5817

Mailing address

PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104

Other identifiers 1

IdentifierTypeStateIssuer
05064001MedicaidCO

Other names 1

  • Centura Health - Porter Adventist Hospital Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1225046006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801106",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-778-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "GAASCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-778-5893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CO",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05064001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health - Porter Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Health - Porter Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.