PEAK VISTA COMMUNITY HEALTH CENTERS (NPI# 1205051232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205051232 |
| Entity Type | Organization |
| Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Other Organization Name | HEALTH CENTER AT 155 PRINTERS PKWY ST230 |
| Practice Address |
155 Printers Parkway Suite 230 Colorado Springs CO 80910 |
| Mailing Address |
3205 N Acadmey Blvd Suite 130 Colorado Springs CO 80917 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7196335492 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447865 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | TRACY NARVET (CFO) |
| Authorized Official Telephone | 7193446188 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK VISTA COMMUNITY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 18812 | CO | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000141901 | 05 |
| Other Name | Type Code |
|---|---|
| Health Center at 155 Printers Pkwy St230 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1205255304 | Peak Vista Community Health Centers | Clinic/Center | 320 Commanche Street, Kiowa, CO 80117 | 2014-04-16 |
| 1851710065 | Peak Vista Community Health Centers | Clinic/Center | 55981 E Colfax Avenue, Strasburg, CO 80136 | 2014-04-15 |
| 1619224987 | Peak Vista Community Health Centers | Clinic/Center | 12050 Falcon Highway, Peyton, CO 80831 | 2012-08-06 |
| 1396048054 | Peak Vista Community Health Centers | Clinic/Center | 430 Gold Pass Heights, Colorado Springs, CO 80906 | 2010-12-17 |
| 1124320106 | Peak Vista Community Health Centers | Clinic/Center | 350 Lyckman Drive, Fountain, CO 80817 | 2010-11-24 |
| 1043512023 | Peak Vista Community Health Centers | Clinic/Center | 117 W Rio Grande Street, Colorado Springs, CO 80903 | 2010-11-24 |
| 1164752812 | Peak Vista Community Health Centers | Clinic/Center | 1740 Pepperwood Drive, Colorado Springs, CO 80910 | 2009-12-31 |
| 1497787535 | Peak Vista Community Health Centers | Clinic/Center | 2828 International Circle, Suite 100, Colorado Springs, CO 80910 | 2006-07-07 |
| Street Address |
155 PRINTERS PARKWAY SUITE 230 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855180 | Becky Mcglynn | Audiologist | 155 Printers Parkway, Suite 240, Colorado Springs, CO 80910-6105 | 2005-10-17 |
| 1780616839 | Allison C Nicklin-tobin | Physical Therapist | 155 Printers Parkway, Suite 125, Colorado Springs, CO 80910 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1396048054 | Peak Vista Community Health Centers | Clinic/Center | 430 Gold Pass Heights, Colorado Springs, CO 80906 | 2010-12-17 |
| 1043512023 | Peak Vista Community Health Centers | Clinic/Center | 117 W Rio Grande Street, Colorado Springs, CO 80903 | 2010-11-24 |
| 1164752812 | Peak Vista Community Health Centers | Clinic/Center | 1740 Pepperwood Drive, Colorado Springs, CO 80910 | 2009-12-31 |
| 1720696578 | Peak Vista Community Health Centers | Clinic/Center | 3207 N Academy Blvd Ste 100, Colorado Springs, CO 80917-5117 | 2020-07-17 |
| 1437772365 | Peak Vista Community Health Centers | Clinic/Center | 5 W Las Vegas St, Colorado Springs, CO 80903-4217 | 2020-05-27 |
| 1437622206 | Peak Vista Community Health Centers | Clinic/Center | 1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 | 2019-01-04 |
| 1194276105 | Peak Vista Community Health Centers | Clinic/Center | 340 Printers Pkwy, Colorado Springs, CO 80910 | 2016-10-14 |
| 1497198089 | Anna Dickey | Clinic/Center | 340 Printers Pkwy, Colorado Springs, CO 80910-3190 | 2013-04-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on PEAK VISTA COMMUNITY HEALTH CENTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.