PEAK VISTA COMMUNITY HEALTH CENTERS (NPI# 1407150121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407150121 |
| Entity Type | Organization |
| Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Other Organization Name | MORENO HEALTH CENTER |
| Practice Address |
875 W Moreno Ave Colorado Springs CO 80905-1731 |
| Mailing Address |
3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5152 |
| Practice Telephone | 7198843232 |
| Practice Fax Number | 7195726443 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447865 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | TRACY NARVET (CFO) |
| Authorized Official Telephone | 7193446188 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05638267 | 05 |
| Other Name | Type Code |
|---|---|
| Moreno Health Center | Other Name - Individual/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 |
875 W MORENO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474944 | Helen Hwei Ling Lin | Psychiatry & Neurology | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2005-08-16 |
| 1053934562 | Jessica Strickland | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-05-19 |
| 1427681303 | Christin Robin Redfield | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-02-19 |
| 1093345753 | Consuelo Mockerman | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-01-22 |
| 1376188847 | Aspenpointe Inc Dba Health Services | Clinic/Center | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-11-08 |
| 1629635719 | Jami Gonzales | Nurse Practitioner | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-05-23 |
| 1275094328 | John Favara | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-29 |
| 1699236869 | Rebecca Nan Mccay | Registered Nurse | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-28 |
| 1346709763 | Hayley Greeno | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-15 |
| 1245703784 | Misty Dorak | Registered Nurse | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| 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 | 80905 |
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.