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CH08146U PEAK VISTA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Entrada School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009590
340B ID
CH08146U
Grant Number
H80CS00212
Additional Details
Current Program Status
Terminated
Registration Date
9/2/2005
Participating Start Date
9/9/2005
Participating Approval Date
9/9/2005
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
7/1/2020
Site closure
Contacts
Authorizing Official
Peak Vista CHC
Pamela J. McManus, President and CEO
(719) 344-6453
Primary Contact
Peak Vista Community Health Centers
Paul Reilly, Pharmacy Director
(719) 344-6269
Addresses
Street Address
1740 Pepperwood Dr
Colorado Spgs, CO 80910-1525
Billing Address
PEAK VISTA COMMUNITY HEALTH CENTERS
3205 N. Academy Blvd, Suite 130
COLORADO SPRINGS, CO 80917
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/16/2008- UPDATED SHIPPING ADDRESS (2828 INTERNATIONAL CIRCLE)
04/16/2008
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