PEAK VISTA COMMUNITY HEALTH CENTERS (NPI# 1437622206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437622206 |
| Entity Type | Organization |
| Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Practice Address |
1815 Jet Wing Dr Colorado Springs CO 80916-2300 |
| Mailing Address |
3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5152 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7193446873 |
| Mailing Fax Number | 7193447865 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | CHRISTI GARRIOTT (SENIOR VP OF BUSINESS INTELLIGENCE) |
| Authorized Official Telephone | 7193446454 |
| 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 |
|---|---|
| Health Center at Jet Wing | 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 |
1815 JET WING DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821419466 | Christine Benedict Laramee | Physician Assistant | 1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 | 2013-12-29 |
| 1134614688 | Nathaniel Hock | Dentist | 1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 | 2018-06-27 |
| 1437600624 | Ravi Kumar Gupta | Family Medicine | 1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 | 2016-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
| Find all providers in zip 80916 | ||||
| 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 |
| 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 |
| 1962740381 | Peak Vista Community Health Centers | Clinic/Center | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917 | 2013-01-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
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.