HEALTH CENTER AT SOUTH CIRCLE – NPI #1407211824
Clinic/Center

HEALTH CENTER AT SOUTH CIRCLE is an AHC clinic located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1407211824 to HEALTH CENTER AT SOUTH CIRCLE on December 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEALTH CENTER AT SOUTH CIRCLE” is a dba name, the actual legal business name for this organization is PEAK VISTA COMMUNITY HEALTH CENTERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Sep 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTH CENTER AT SOUTH CIRCLE below.

NPI Profile for
PEAK VISTA COMMUNITY HEALTH CENTERS

NPI Number
1407211824
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Doing Business As (dba): HEALTH CENTER AT SOUTH CIRCLE
Primary location
2864 S CIRCLE DR
SUITE 450
COLORADO SPRINGS, CO 80906
Phone: (719) 632-5700 Fax: (719) 344-7867
Mailing address
3205 N ACADEMY BLVD
SUITE 130
COLORADO SPRINGS, CO 80917
Phone: (719) 632-5700 Fax: (719) 344-7865
Organization Subpart
Yes - HEALTH CENTER AT SOUTH CIRCLE is subpart of another organization.
Authorized Official
TRACY MCMANUS
CFO
Phone: (719) 344-6188
Updated
Identifiers

Identifiers for HEALTH CENTER AT SOUTH CIRCLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO02105055
MEDICAIDCO05638267
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CO
363AM0700X
- Physician Assistant / Medical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.