NPIMap

Organization Active NPI

Portercare Adventist Health System

Doing business as Avista Adventist Hospital

  • General Acute Care Hospital
  • Boulder, CO
National Provider Identifier
1740820422
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
Avista Adventist Hospital
Practice address
2525 4TH St
Boulder, CO 80304-3966
Phone
(303) 715-7000
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PORTER ADVENTIST HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Matthew P Leary
Title
Group VP Finance
Phone
(303) 643-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2525 4TH St
Boulder, CO 80304-3966

Mailing address

PO Box 910317
Denver, CO 80291-0317

Other names 1

  • Avista Adventist Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Porter Memorial Hospita217 organizations share this tax ID, including this one
Part of
Porter Memorial Hospita

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1740820422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910317",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802910317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 4TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043966",
            "telephone_number": "303-715-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTER ADVENTIST HEALTH SYSTEM",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GROUP VP FINANCE",
        "authorized_official_telephone_number": "303-643-1022"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avista Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.