# PEAK VISTA COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEAK VISTA COMMUNITY HEALTH CENTER
- **Other names:** Peak Vista Pharmacy at Myron
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932437746
- **Legal business name:** PEAK VISTA COMMUNITY HEALTH CENTER
- **Authorized official:** TRACY NARVET (CFO)
- **Authorized official phone:** (719) 344-6188

## Contact information

- **Practice address:** 410 GOLD PASS HEIGHTS, COLORADO SPRINGS, CO 80906
- **Practice address phone:** (719) 632-5700
- **Practice address fax:** (719) 579-6277
- **Mailing address:** 3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917
- **Mailing address phone:** (719) 632-5700
- **Mailing address fax:** (719) 579-6277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | CO | — |
| 333600000X | Pharmacy | 789 | CO | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 08/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2124230 | PK | — |
| 05 | — | 87034786 | — | CO |