NPIMap

Organization Active NPI

Peak Vista Community Health Centers

Doing business as Health Center at 155 Printers Pkwy St230

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
National Provider Identifier
1205051232
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTERS
Doing business as
Health Center at 155 Printers Pkwy St230
Practice address
155 Printers Parkway
Suite 230
Colorado Springs, CO 80910
Phone
(719) 632-5700
Fax
(719) 633-5492
NPI assigned
Apr 16, 2007
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PARK VISTA COMMUNITY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Narvet
Title
Cfo
Phone
(719) 344-6188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CO Primary
Family Medicine Physician 207Q00000X 18812 CO

Addresses

Primary practice location

155 Printers Parkway
Suite 230
Colorado Springs, CO 80910

Mailing address

3205 N Acadmey Blvd
Suite 130
Colorado Springs, CO 80917
Phone (719) 632-5700

Other identifiers 1

IdentifierTypeStateIssuer
9000141901MedicaidCO

Other names 1

  • Health Center at 155 Printers Pkwy St230 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Ctr Co27 organizations share this tax ID, including this one
Part of
Community Health Ctr Co

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

155 Printers Pkwy
Ste 230
Colorado Springs, CO 80910
Phone (719) 635-5657

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1205051232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADMEY BLVD",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PARKWAY",
            "address_2": "SUITE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80910",
            "telephone_number": "719-632-5700",
            "fax_number": "719-633-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VISTA COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK VISTA COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "NARVET",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-344-6188"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "18812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141901",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center at 155 Printers Pkwy St230",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.