Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Parent organization
PARK VISTA COMMUNITY HEALTH CENTERS
Other names
Health Center at 155 Printers Pkwy St230
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK VISTA COMMUNITY HEALTH CENTERS
Authorized official
TRACY NARVET (CFO)
(719) 344-6188
Entity
Organization
Contact information
Practice address
155 PRINTERS PARKWAY, SUITE 230, COLORADO SPRINGS, CO 80910
(719) 632-5700
(719) 633-5492
Mailing address
3205 N ACADMEY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917
(719) 632-5700
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18812
CO
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000141901
—
CO
Enumeration date
04/16/2007
Last updated
09/12/2018
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