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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 Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for PEAK VISTA COMMUNITY HEALTH CENTER

NPI # 1932437746
LBN Legal business name PEAK VISTA COMMUNITY HEALTH CENTER
Authorized official TRACY NARVET - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/07/2009
Last updated 08/17/2018 - About 8 years ago
Identifiers
CO License # 789
CO Medicaid 87034786
Other 2124230 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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