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PEAK VISTA COMMUNITY HEALTH CENTERS NPI 1164769782


NPI Information

NPI: 1164769782
Provider Name: PEAK VISTA COMMUNITY HEALTH CENTERS

Doing Business As: HEALTH CENTER AT ACADEMY SUITE 3100

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3207 N ACADEMY BLVD
SUITE 3100
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 632-5700
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PEAK VISTA COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Colorado Springs, CO. PEAK VISTA COMMUNITY HEALTH CENTERS NPI is 1164769782. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Center At Academy Suite 3100.

The provider's business location address is:

3207 N ACADEMY BLVD
SUITE 3100
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 632-5700
Fax: (719) 344-7841

The provider's authorized official is Cindy Pratt .
The authorized official title is Chief Financial Officer and has the following contact phone number (719) 344-6188.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 5/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105638267MEDICAIDCOLORADO
283406077MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.