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CH08146AK PEAK VISTA COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Health Center at Academy, Suite 3300
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012713
340B ID
CH08146AK
Grant Number
H80CS00212
Additional Details
Current Program Status
Active
Registration Date
8/16/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/3/2013
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
PVCHC
Joel Tanaka, Chief Medical Officer
(719) 344-6530
Primary Contact
Peak Vista Community Health Centers
Katie Boudreaux, Vice President of Pharmacy Services
(719) 344-6269
Addresses
Street Address
3207 N. Academy Boulevard STE 3300
Colorado Springs, CO 80917
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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