Peak Vista Community Health Centers

NPI #1124320106 in Fountain, Colorado

Provider Information

NPI Number: 1124320106
Entity Type: Organization
Organization Name: Peak Vista Community Health Centers
Subpart: Yes (part of a larger organization)
Parent Organization: PEAK VISTA COMMUNITY HEALTH CENTERS
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 24, 2010
Last Updated: Mar 6, 2023

Practice Location

Address: 350 LYCKMAN DRIVE
City: Fountain
State: Colorado
ZIP Code: 80817
Phone: (719) 632-5700

Authorized Official

Name: RYAN SPILLANE
Title: CHIEF FINANCIAL OFFICER
Phone: (719) 344-7135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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