Organization · Type 2 NPI

Peak Vista Community Health Centers

Federally Qualified Health Center (FQHC) · Colorado Springs, CO

NPI number 1700834272 Active

Practice location

225 S Union, Garden Level
Colorado Springs, CO 80910

Call (719) 632-5700 Map

Fax (719) 228-6655

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
Pharmacy	333600000X	None listed

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NPI record

NPI: 1700834272
Entity type: Organization (Type 2)
Issued: May 5, 2006
Last updated: Dec 12, 2016
Status: Active
Subpart: Yes of Peak Vista Community Health Center

Other names

<unavail>
Peak Vista Pharmacy at Union · doing business as

Authorized official

Bradach Fitzwater
CFO
(719) 344-6188

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 1700834272

Peak Vista Community Health Centers's National Provider Identifier is 1700834272, issued on May 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 12, 2016.