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
CINDY PRATT (CHIEF FINANCIAL OFFICER)
(719) 344-6188
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, SUITE 130, COLORADO SPRINGS, CO 80917
(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
05/19/2021
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