Cripple Creek-Victor Mountain Health Center

LBN: Peak Vista Community Health Centers
Cripple Creek-Victor Mountain Health Center is an health care organization with primary practice located at 412 North C Street , Cripple Creek CO 80813. 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) 689-9230, or through Narvet, Tracy via phone (719) 344-6188.

Contact Information

Primary practice address
412 North C Street Cripple Creek CO 80813
Phone: (719) 689-9230
Fax: (719) 689-9236
Website:
Map and Directions
Authorized official contact:
Name: Narvet, Tracy
Phone: (719) 344-6188

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 18Q653 Colorado

Profile Details

NPI number 1659606580
LBN Legal business name Peak Vista Community Health Centers
DBA Doing business as Cripple Creek-Victor Mountain Health Center
Authorized official Narvet, Tracy
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2009
Last updated Aug 17th, 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 1659606580 NPPES
Colorado MEDICAID 05638267

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