NPIMap

Organization Active NPI

Adventhealth Primary Care RMR

Doing business as Adventhealth Elizabeth Clinic

  • Rural Health Clinic/Center
  • Elizabeth, CO
National Provider Identifier
1265341291
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADVENTHEALTH PRIMARY CARE RMR
Doing business as
Adventhealth Elizabeth Clinic
Practice address
240 S Elizabeth St Unit 103
Elizabeth, CO 80107-7546
Phone
(303) 269-2551
Fax
(303) 269-2552
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Destin Harcus
Title
Cfo
Phone
(225) 328-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

240 S Elizabeth St Unit 103
Elizabeth, CO 80107-7546

Mailing address

2600 Westhall LN Ste 200
Maitland, FL 32751-7107
Phone (407) 200-2857

Other names 1

  • ADVENTHEALTH ELIZABETH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Primary Care RMR30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

240 S Elizabeth St
Unit 103
Elizabeth, CO 80107
Phone (262) 989-6647

2600 Westhall Ln
Ste 200
Maitland, FL 32751

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1265341291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517107",
            "telephone_number": "407-200-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S ELIZABETH ST UNIT 103",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077546",
            "telephone_number": "303-269-2551",
            "fax_number": "303-269-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTHEALTH PRIMARY CARE RMR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HARCUS",
        "authorized_official_first_name": "DESTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-328-1607"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH ELIZABETH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.