Active NPI
Peak Vista Community Health Centers
Doing business as Health Center at Kiowa
- Federally Qualified Health Center (FQHC)
- Kiowa, CO
National Provider Identifier
1205255304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PEAK VISTA COMMUNITY HEALTH CENTERS
- Doing business as
- Health Center at Kiowa
- Practice address
- 320 Commanche Street
Kiowa, CO 80117 - Phone
- (719) 632-5700
- Fax
- (720) 328-0912
- NPI assigned
- Apr 16, 2014
- Last updated
- May 18, 2021
- Organization subpart
- Yes
- Parent organization
- PEAK VISTA COMMUNITY HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Pratt
- Title
- Chief Financial Officer
- Phone
- (719) 344-6188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CO | Primary |
Addresses
Primary practice location
320 Commanche Street
Kiowa, CO 80117
Mailing address
3205 N Academy Blvd
Suite 130
Colorado Springs, CO 80917
Phone (719) 632-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67134866 | Medicaid | CO |
Other names 1
- Health Center at Kiowa
National Provider Directory
National Provider Directory- Part of
- Community Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1205255304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 N ACADEMY 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": "320 COMMANCHE STREET",
"city": "KIOWA",
"state": "CO",
"postal_code": "80117",
"telephone_number": "719-632-5700",
"fax_number": "720-328-0912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK VISTA COMMUNITY HEALTH CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEAK VISTA COMMUNITY HEALTH CENTER",
"enumeration_date": "2014-04-16",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67134866",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Center at Kiowa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Health Center at Kiowa",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kiowa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.