Mobile Health Services Van

LBN: Peak Vista Community Health Centers
Mobile Health Services Van is an health care organization with primary practice located at 2510 Platte Pl , Colorado Springs CO 80909-6134. 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
2510 Platte Pl Colorado Springs CO 80909-6134
Phone: (719) 632-5700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spillane, Ryan
Phone: (719) 344-7135

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Colorado

Profile Details

NPI number 1285964262
LBN Legal business name Peak Vista Community Health Centers
DBA Doing business as Mobile Health Services Van
Authorized official Spillane, Ryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 13th, 2010
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285964262 NPPES
Colorado MEDICAID 33135070
Colorado MEDICAID 05638267

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