Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTER
Other names
Peak Vista Pharmacy at Union
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTER
Authorized official
BRADACH FITZWATER (CFO)
(719) 344-6188
Entity
Organization
Contact information
Practice address
225 S UNION, GARDEN LEVEL, COLORADO SPRINGS, CO 80910
(719) 632-5700
(719) 228-6655
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917
(719) 344-6914
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CO
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03000221
—
CO
Enumeration date
05/05/2006
Last updated
12/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us