Pediatric Health Center
LBN: Peak Vista Community Health Centers
Pediatric Health Center is an health care organization with primary practice located at 2828 International Circle Suite 140, Colorado Springs CO 80910. 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
2828 International Circle Suite 140
Colorado Springs CO 80910
Phone: (719) 632-5700
Fax: (719) 344-7821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Colorado |
Profile Details
| NPI number | 1124321880 |
|---|---|
| LBN Legal business name | Peak Vista Community Health Centers |
| DBA Doing business as | Pediatric Health Center |
| 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 | 1124321880 | NPPES |
| Colorado | MEDICAID | 05807239 | |
| Colorado | MEDICAID | 05638267 |
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