National Provider Identifier Database

PEAK VISTA COMMUNITY HEALTH CENTER
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PEAK VISTA COMMUNITY HEALTH CENTER
410 GOLD PASS HEIGHTS
COLORADO SPRINGS, CO80906
Phone: 719-632-5700
Fax: 719-579-6277
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for PEAK VISTA COMMUNITY HEALTH CENTER

NPI Number 1932437746
Legal business name
LBN
PEAK VISTA COMMUNITY HEALTH CENTER
Authorized official TRACY NARVET - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 12/07/2009
Last updated 08/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 789
  • CO Medicaid: 87034786
  • Other: 2124230 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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