Active NPI
Peak Vista Community Health Centers
- Federally Qualified Health Center (FQHC)
- Peyton, CO
National Provider Identifier
1619224987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PEAK VISTA COMMUNITY HEALTH CENTERS
- Practice address
- 12050 Falcon Highway
Peyton, CO 80831 - Phone
- (719) 632-5700
- Fax
- (719) 344-7848
- NPI assigned
- Aug 6, 2012
- Organization subpart
- Yes
- Parent organization
- PEAK VISTA COMMUNITY HEALTH CENTERS
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
12050 Falcon Highway
Peyton, CO 80831
Mailing address
3205 N Academy Blvd
Suite 130
Colorado Springs, CO 80917
Phone (719) 632-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26321220 | Medicaid | CO | |
| 05638267 | Medicaid | CO |
Other names 1
- Falcon School Based Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 061934
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- FALCON PEAK SCHOOL BASED HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 29, 2013
- Last certification
- Apr 29, 2013
- Ownership / control type
- For profit – partnership
- Facility address
- 12050 Falcon Hwy
Amo, CO 80831
National Provider Directory
National Provider Directory- Part of
- Peak Vista Community Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1619224987",
"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": "12050 FALCON HIGHWAY",
"city": "PEYTON",
"state": "CO",
"postal_code": "80831",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK VISTA COMMUNITY HEALTH CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEAK VISTA COMMUNITY HEALTH CENTERS",
"enumeration_date": "2012-08-06",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"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": "26321220",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05638267",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Falcon School Based Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Falcon School Based Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.