LOGAN HEALTH CENTER AT MYRON STRATTON
NPI 1396048054
Clinic/Center - Federally Qualified Health Center (FQHC) in Colorado Springs, CO

NPI Status: Active since December 17, 2010

Contact Information

430 GOLD PASS HEIGHTS
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 632-5700
Fax: (719) 344-7834

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About LOGAN HEALTH CENTER AT MYRON STRATTON

This page provides the complete NPI Profile along with additional information for Logan Health Center At Myron Stratton, a primary care provider established in Colorado Springs, Colorado operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1396048054 assigned on December 2010. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Logan Health Center At Myron Stratton. The authorized official of this NPI record is Ryan Spillane (Chief Financial Officer)

NPI
1396048054
Provider Legal Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Other Organization Name
LOGAN HEALTH CENTER AT MYRON STRATTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
430 GOLD PASS HEIGHTS COLORADO SPRINGS, CO 80906
Location Phone
(719) 632-5700
Location Fax
(719) 344-7834
Mailing Address
3205 N ACADEMY BLVD SUITE 130 COLORADO SPRINGS, CO 80917
Mailing Phone
(719) 632-5700
Mailing Fax
(719) 344-7834
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-17-2010
Last Update Date
03-06-2023
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A primary care provider (PCP) like Logan Health Center At Myron Stratton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
CO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN SPILLANE

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(719) 344-7135

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
27870375MEDICAID (05)CO 
05638267MEDICAID (05)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396048054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231860416010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 4 + 1 + 6 + 0 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1396048054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396048054, enumerated in the NPI registry as an "organization" on December 17, 2010

The provider is located at 430 Gold Pass Heights Colorado Springs, Co 80906 and the phone number is (719) 632-5700

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 17, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.