PEAK VISTA COMMUNITY HEALTH CENTERS NPI 1659606580

NPI Information

NPI: 1659606580
Provider Name: PEAK VISTA COMMUNITY HEALTH CENTERS

Other Name: CRIPPLE CREEK-VICTOR MOUNTAIN HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
412 NORTH C STREET
CRIPPLE CREEK, CO
ZIP 80813
Phone: (719) 689-9230
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PEAK VISTA COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Cripple Creek, CO. PEAK VISTA COMMUNITY HEALTH CENTERS NPI is 1659606580. The provider is registered as an organization entity type.
The provider Other Name Is Cripple Creek-victor Mountain Health Center.

The provider's business location address is:

412 NORTH C STREET
CRIPPLE CREEK, CO
ZIP 80813
Phone: (719) 689-9230
Fax: (719) 689-9236

The provider's authorized official is Tracy Narvet .
The authorized official title is Cfo and has the following contact phone number (719) 344-6188.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 8/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	18Q653	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05638267	MEDICAID	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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