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HEALTH CENTER AT FOUNTAIN
NPI 1124320106
Clinic/Center - Federally Qualified Health Center (FQHC) in Fountain, CO

Active since November 24, 2010
350 LYCKMAN DRIVE, FOUNTAIN, CO 80817(719) 632-5700(719) 322-0776 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, May 18, 2021, Jul 9, 2020 and 3 more (6 updates tracked since 2016).

About Health Center At Fountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH CENTER AT FOUNTAIN (NPI 1124320106) is a healthcare organization registered as a federally qualified health center (fqhc) in Fountain, Colorado and active in the NPI registry since November 2010. The organization lists Ryan Spillane, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1124320106
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEAK VISTA COMMUNITY HEALTH CENTERS
Location Address350 LYCKMAN DRIVEFountain, CO 80817
Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917 · (719) 632-5700 · Fax (719) 344-7865
Phone(719) 632-5700
Fax(719) 322-0776
Organization SubpartYes
Authorized OfficialRyan SpillaneChief Financial Officer · (719) 344-7135
Enumeration DateNovember 24, 2010
Last NPPES UpdateMarch 6, 20236 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1124320106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
350 LYCKMAN DRIVE, Fountain, CO 80817
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Other Names 1

Doing Business AsHealth Center At Fountain

Other Identifiers 2

Medicaid05638267CO
Medicaid90158229CO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MARIE BERGER-VERNACE DO
Pediatrics
350 LYCKMAN DRIVE
FOUNTAIN, CO 80817
El Paso County (719) 632-5700
KATILYN ANN OXLEY RDH
Dental Hygienist
350 LYCKMAN DRIVE
FOUNTAIN, CO 80817
El Paso County (719) 632-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peak Vista Community Health Centers's NPI number?

The NPI number for Peak Vista Community Health Centers is 1124320106. It was assigned to this organization in the NPPES registry on November 24, 2010. The provider is doing business as Health Center At Fountain.

Where is Peak Vista Community Health Centers located?

Peak Vista Community Health Centers is located at 350 Lyckman Drive, Fountain, CO 80817. The listed phone number is (719) 632-5700.

What is Peak Vista Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Peak Vista Community Health Centers was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.