Health Center At South Circle

LBN: Peak Vista Community Health Centers
Health Center At South Circle is an health care organization with primary practice located at 2864 S Circle Dr Suite 450, Colorado Springs CO 80906. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Peak Vista Community Health Centers can be contacted via phone (719) 632-5700, or through Mcmanus, Tracy Narvet via phone (719) 344-6188.

Contact Information

Primary practice address
2864 S Circle Dr Suite 450 Colorado Springs CO 80906
Fax: (719) 344-7867
Website:
Authorized official contact:
Name: Mcmanus, Tracy Narvet

Profile Details

NPI number 1407211824
LBN Legal business name Peak Vista Community Health Centers
DBA Doing business as Health Center At South Circle
Authorized official Mcmanus, Tracy Narvet
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 30th, 2015
Last updated Sep 12th, 2018 - about 6 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 1407211824 NPPES
Colorado MEDICAID 05638267
Colorado MEDICAID 02105055

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