Portercare Adventist Health System
Organization Active NPI Medical Oncology Physician · Louisville, CO
NPI 1831561109 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1831561109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 80 Health Park Dr Ste 270
Louisville, CO 80027-4644 - Phone
- (303) 661-1860
- Fax
- (303) 661-1861
- NPI assigned
- Oct 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Angela Skinner
- Title
- Oma / Administrator
- Phone
- (303) 673-7175
Practitioners 3
-
Robert C Harmon, MD/PHD
-
Barbara Ellen Kurlan, FNPC
-
Michael John Solomon, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000327 | CO | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 869 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician |
207RX0202X | Yes |
Addresses
Primary practice location
80 Health Park Dr Ste 270
Louisville, CO 80027-4644
Mailing address
PO Box 911244
Denver, CO 80291-1244
Phone (888) 269-7001
Other names
- MOAV MED ONC AVISTA
- Centura Health Physician Group Medical Oncology Avista
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All providers in Louisville, CO · Medical Oncology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.