Lane Family Health Center

LBN: Peak Vista Community Health Centers
Lane Family Health Center is an health care organization with primary practice located at 4863 N Nevada Ave , Colorado Springs CO 80918. 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
4863 N Nevada Ave Colorado Springs CO 80918
Phone: (719) 632-5700
Fax: (719) 260-1821
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 1851693832
LBN Legal business name Peak Vista Community Health Centers
DBA Doing business as Lane Family Health Center
Authorized official Spillane, Ryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 24th, 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 1851693832 NPPES
Colorado MEDICAID 05638267
Colorado MEDICAID 85225843

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