Peak Vista Pharmacy At Myron
LBN: Peak Vista Community Health Center
Peak Vista Pharmacy At Myron is an health care organization with primary practice located at 410 Gold Pass Heights , Colorado Springs CO 80906. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Peak Vista Community Health Center can be contacted via phone (719) 632-5700, or through Narvet, Tracy via phone (719) 344-6188.
Contact Information
Primary practice address
410 Gold Pass Heights
Colorado Springs CO 80906
Phone: (719) 632-5700
Fax: (719) 579-6277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Colorado | |
| Suppliers / Pharmacy | 333600000X | 789 | Colorado |
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1932437746 |
|---|---|
| LBN Legal business name | Peak Vista Community Health Center |
| DBA Doing business as | Peak Vista Pharmacy At Myron |
| Authorized official | Narvet, Tracy |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 7th, 2009 |
| Last updated | Aug 17th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932437746 | NPPES |
| Other | 2124230 | PK | |
| MEDICAID | 87034786 | PK |
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