Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Other names
Cripple Creek-Victor Mountain 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
412 NORTH C STREET, CRIPPLE CREEK, CO 80813
(719) 689-9230
(719) 689-9236
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
18Q653
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638267
—
CO
Enumeration date
10/09/2009
Last updated
08/17/2018
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