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CH08146AT Peak Vista Community Health Centers (Terminated)
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Main Details
Name
Peak Vista Community Health Centers
Subdivision Name
Temporary Site - Colorado Springs City Auditorium
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030617
340B ID
CH08146AT
Grant Number
H80CS00212
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2020
Participating Start Date
4/17/2020
Participating Approval Date
4/17/2020
Last Recertification Date
Termination Date
Termination Reason
10/1/2020
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
221 E Kiowa St
Colorado Springs, CO 80903-1706
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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