PEAK VISTA COMMUNITY HEALTH CENTERS (NPI# 1659606580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659606580 |
| Entity Type | Organization |
| Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Other Organization Name | CRIPPLE CREEK-VICTOR MOUNTAIN HEALTH CENTER |
| Practice Address |
412 North C Street Cripple Creek CO 80813 |
| Mailing Address |
3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5152 |
| Practice Telephone | 7196899230 |
| Practice Fax Number | 7196899236 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447865 |
| Enumeration Date | 2009-10-09 |
| 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 CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
18Q653 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05638267 | 05 |
| Other Name | Type Code |
|---|---|
| Cripple Creek-Victor Mountain 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 |
412 NORTH C STREET |
| City | CRIPPLE CREEK |
| State | CO |
| Zip Code | 80813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614828 | Lorraine Gwen Grube | Physician Assistant | 412 North C Street, Cripple Creek, CO 80813 | 2005-10-25 |
| 1598119794 | Catholic Health Initiatives Colorado | Family Medicine | 412 North C Street, Cripple Creek, CO 80813 | 2016-04-14 |
| 1952334989 | Linda Marie Hewett | Nurse Practitioner | 412 North C Street, Cripple Creek, CO 80813 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
| 1043756133 | Amy Terry | Registered Nurse | 308 East Eaton Ave, Cripple Creek, CO 80813 | 2017-01-12 |
| 1093174930 | Alessandra Marie Bullis | Nurse Practitioner | 412 N C St, Cripple Creek, CO 80813 | 2016-02-21 |
| 1144685918 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 166 E Bennett Ave, Cripple Creek, CO 80813 | 2015-12-22 |
| 1164768164 | Carla Young | Massage Therapist | 151 E. Bennett Ave., Cripple Creek, CO 80813 | 2012-12-19 |
| 1487968244 | Nicole Leadley | Dentist | 1101 Teller County Road 1, Cripple Creek, CO 80813 | 2010-08-03 |
| 1457514036 | Kurt A Wever Md PC | Family Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2008-07-03 |
| 1497800668 | Southwest Teller County Emergency Medical Services | Ambulance | 147 E. Bennett Avenue, Cripple Creek, CO 80813 | 2007-01-25 |
| 1306819453 | Robert Paul Reid | Family Medicine | 1101 County Rd 1, Cripple Creek, CO 80813 | 2006-02-09 |
| 1437765195 | Catholic Health Initiatives Colorado | Internal Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2020-09-18 |
| Find all providers in zip 80813 | ||||
| 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 |
|---|---|---|---|---|
| 1972118073 | Sunrise Community Health | Clinic/Center | 2880 Monroe Ave, Loveland, CO 80538-3274 | 2020-09-15 |
| 1538772892 | Valley-wide Health Systems, Inc. | Clinic/Center | 204 Carson Ave, Alamosa, CO 81101-2342 | 2020-08-26 |
| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CRIPPLE CREEK |
| Zip Code | 80813 |
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.