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Organization

PEAK VISTA COMMUNITY HEALTH CENTERS

Active
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Organization

PEAK VISTA COMMUNITY HEALTH CENTERS

Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Other names
Health Center at International Circle
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTERS
Authorized official
RYAN SPILLANE (INTERIM CHIEF OPERATIONS OFFICER)
(719) 344-7135
Entity
Organization

Contact information

Practice address
2828 INTERNATIONAL CIRCLE, SUITE 160, COLORADO SPRINGS, CO 80910
(719) 632-5700
(719) 344-7812
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
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05638267
CO
05
69458324
CO
Enumeration date
03/10/2011
Last updated
08/26/2026
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