Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Other names
Entrada School Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTERS
Authorized official
TRACY NARVET (CFO)
(719) 344-6188
Entity
Organization
Contact information
Practice address
1740 PEPPERWOOD DRIVE, COLORADO SPRINGS, CO 80910
(719) 632-5700
(719) 579-2662
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917
(719) 632-5700
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
18W354
CO
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638267
—
CO
05
—
16206525
—
CO
Enumeration date
12/31/2009
Last updated
09/12/2018
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