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Organization

PEAK VISTA COMMUNITY HEALTH CENTERS

Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Other names
Behavioral Health at Inside Out Youth Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTERS
Authorized official
RYAN SPILLANE CFO (CHIEF FINANCIAL OFFICE)
(719) 344-7135
Entity
Organization

Contact information

Practice address
516 W COLORADO AVE, COLORADO SPRINGS, CO 80905-1511
(719) 632-5700
(719) 344-7819
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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