Health Center At Wahsatch
LBN: Peak Vista Community Health Centers
Health Center At Wahsatch is an health care organization with primary practice located at 722 S Wahsatch Ave , Colorado Springs CO 80903. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Peak Vista Community Health Centers can be contacted via phone (719) 632-5700, or through Spillane, Ryan via phone (719) 344-7135.
Contact Information
Primary practice address
722 S Wahsatch Ave
Colorado Springs CO 80903
Phone: (719) 632-5700
Fax: (719) 344-7828
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 18R483 | Colorado |
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Colorado |
Profile Details
NPI number | 1033412796 |
---|---|
LBN Legal business name | Peak Vista Community Health Centers |
DBA Doing business as | Health Center At Wahsatch |
Authorized official | Spillane, Ryan |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Dec 17th, 2010 |
Last updated | Mar 6th, 2023 - about 2 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 | 1033412796 | NPPES |
Colorado | MEDICAID | 05638267 | |
Colorado | MEDICAID | 21288861 |
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