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CH08146AB PEAK VISTA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Health Center at International Circle
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010599
340B ID
CH08146AB
Grant Number
H80CS00212
Additional Details
Current Program Status
Terminated
Registration Date
12/19/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/19/2011
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
10/1/2022
Site closure
Contacts
Authorizing Official
PVCHC
Lisa Ramey, CMDO
(719) 344-6455
Primary Contact
Peak Vista Community Health Centers
Katie Boudreaux, Vice President of Pharmacy Services
(719) 344-6269
Addresses
Street Address
2828 International Circle STE 160
Colorado Springs, CO 80910-3190
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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