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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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