PEAK VISTA COMMUNITY HEALTH CENTER (NPI# 1932437746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932437746 |
Entity Type | Organization |
Organization Name | PEAK VISTA COMMUNITY HEALTH CENTER |
Other Organization Name | PEAK VISTA PHARMACY AT MYRON |
Practice Address |
410 Gold Pass Heights Colorado Springs CO 80906 |
Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 |
Practice Telephone | 7196325700 |
Practice Fax Number | 7195796277 |
Mailing Telephone | 7196325700 |
Mailing Fax Number | 7195796277 |
Enumeration Date | 2009-12-07 |
Last Update Date | 2018-08-17 |
Authorized Official Name | TRACY NARVET (CFO) |
Authorized Official Telephone | 7193446188 |
Is Organization Subpart | Y |
Parent Organization Name | PEAK VISTA COMMUNITY HEALTH CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CO | Ambulatory Health Care Facilities | |
Y | 333600000X | Pharmacy | 789 | CO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2124230 | 01 | |
CO | 87034786 | 05 |
Other Name | Type Code |
---|---|
Peak Vista Pharmacy at Myron | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386063485 | Peak Vista Community Health Center | Clinic/Center | 305 Pawnee Avenue, Flagler, CO 80815 | 2014-04-16 |
1255791190 | Peak Vista Community Health Center | Dentist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917 | 2016-03-04 |
Street Address |
410 GOLD PASS HEIGHTS |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659674034 | Peak Vista Community Health Centers | Clinic/Center | 410 Gold Pass Heights, Colorado Springs, CO 80906 | 2010-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
Find all providers in zip 80906 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639689904 | Evans Army Community Hospital | Pharmacy | 565 Space Center Dr Ste 130, Colorado Springs, CO 80915-3610 | 2017-10-02 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1972050078 | Compass Pharmacy LLC | Pharmacy | 3960 Maizeland Rd, Colorado Springs, CO 80909-1608 | 2016-09-07 |
1235318544 | Powers Independent Pharmacy | Pharmacy | 8540 Scarborough Dr Ste 150, Colorado Springs, CO 80920-7533 | 2007-11-02 |
1376671636 | Joseph C Ruskin Enterprises Inc | Pharmacy | 2504 E Pikes Peak Ave Ste 106, Colorado Springs, CO 80909-7039 | 2007-03-01 |
1154421493 | El Paso County | Pharmacy | 27 E Vermijo Ave Ste 005, Colorado Springs, CO 80903-2208 | 2006-09-25 |
1194837021 | Pharmacies West Inc | Pharmacy | 3159 W Colorado Ave, Colorado Springs, CO 80904-2040 | 2006-08-31 |
1568483519 | Bethel Business LLC | Pharmacy | 1640 S Nevada Ave, Colorado Springs, CO 80905-2222 | 2006-07-22 |
1821015181 | Walmart Inc. | Pharmacy | 3201 E Platte Ave, Colorado Springs, CO 80909-6408 | 2006-07-16 |
1023041696 | Pharmerica Drug Systems LLC | Pharmacy | 1041 Elkton Dr, Suite A, Colorado Springs, CO 80907-3539 | 2006-07-08 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80906 |
Please comment or provide details below to improve the information on PEAK VISTA COMMUNITY HEALTH CENTER.
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.