Organization · Type 2 NPI

Peak Vista Community Health Centers

Federally Qualified Health Center (FQHC) · Divide, CO

NPI number 1609178524 Active

Practice location

34 Hybrook Rd South
Divide, CO 80814

Call (719) 632-5700 Map

Fax (719) 687-4457

Mailing address

3205 N Academy Blvd, Suite 130
Colorado Springs, CO 80917

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Jennifer L. McCarthy, P.A.-CPhysician Assistant Divide, CO NPI 1548337249

NPI record

NPI: 1609178524
Entity type: Organization (Type 2)
Issued: Nov 29, 2010
Last updated: Mar 6, 2023
Status: Active
Subpart: Yes of Peak Vista Community Health Centers

Other names

<unavail>
Health Center at Divide · doing business as
Health Center at Divide · doing business as

Authorized official

Ryan Spillane
Chief Financial Officer
(719) 344-7135

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609178524

Peak Vista Community Health Centers's National Provider Identifier is 1609178524, issued on Nov 29, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Divide, CO. The record was last updated on Mar 6, 2023.