Logan Health Center At Myron Stratton

LBN: Peak Vista Community Health Centers
Logan Health Center At Myron Stratton is an health care organization with primary practice located at 430 Gold Pass Heights , Colorado Springs CO 80906. 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
430 Gold Pass Heights Colorado Springs CO 80906
Fax: (719) 344-7834
Website:
Authorized official contact:
Name: Spillane, Ryan

Health care specialties

Profile Details

NPI number 1396048054
LBN Legal business name Peak Vista Community Health Centers
DBA Doing business as Logan Health Center At Myron Stratton
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396048054 NPPES
Colorado MEDICAID 27870375
Colorado MEDICAID 05638267

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