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CH08146AQ PEAK VISTA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Health Center at Printer's Parkway, 155
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018877
340B ID
CH08146AQ
Grant Number
H80CS00212
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Peak Vista CHC
Pamela J. McManus, President & CEO
(719) 344-6450
Primary Contact
Peak Vista Community Health Centers
Paul Reilly, Pharmacy Director
(719) 344-6269
Addresses
Street Address
155 Printer's Parkway Suite 230
Colorado Springs, CO 80910-6102
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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