PEAK VISTA COMMUNITY HEALTH CENTERS (NPI# 1689977365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689977365 |
| Entity Type | Organization |
| Organization Name | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Other Organization Name | CONVENIENT CARE CENTER AND PEDIATRIC HEALTH CENTER AT ACADEMY |
| Practice Address |
3205 N Academy Blvd Suite 100 Colorado Springs CO 80917 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7193447814 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447814 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2020-07-09 |
| 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 |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 31201733 | 05 | |
| CO | 05638267 | 05 |
| Other Name | Type Code |
|---|---|
| Convenient Care Center and Pediatric Health Center at Academy | 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 |
3205 N ACADEMY BLVD SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260613 | Daniel Samuel Berliner | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2005-10-21 |
| 1760083836 | Colorado Springs Radiologists PC | Radiology | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2020-11-05 |
| 1609308436 | Royce Toffol | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2017-03-30 |
| 1255784021 | Eric Austin Attard | Counselor | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2016-07-18 |
| 1124481320 | Joshua Jewell | Family Medicine | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-04-04 |
| 1871955815 | Jordan Christensen | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Ste. 130, Colorado Springs, CO 80917-5147 | 2016-03-28 |
| 1164883302 | Matthew J Schippers | Hospitalist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-03-16 |
| 1255791190 | Peak Vista Community Health Center | Dentist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917 | 2016-03-04 |
| 1780084392 | Erin Ordway | Physician Assistant | 3205 N Academy Blvd, Ste 100, Colorado Springs, CO 80917-5147 | 2014-09-02 |
| 1841551967 | Colorado Urgent Care Associates, P.C. | Clinic/Center | 3205 N Academy Blvd, Colorado Springs, CO 80917-5101 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| 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 |
| 1437622206 | Peak Vista Community Health Centers | Clinic/Center | 1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 | 2019-01-04 |
| 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 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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.