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CH08146AL PEAK VISTA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Health Center at Academy Suite 3100
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012707
340B ID
CH08146AL
Grant Number
H80CS00212
Additional Details
Current Program Status
Terminated
Registration Date
8/16/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/3/2013
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
3207 N Academy Blvd STE 3100
Colorado Springs, CO 80917-5101
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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