Summit Community Care Clinic, Inc. | |
735 Us Highway 24 Leadville CO 80461-3978 | |
(970) 668-4040 | |
Not Available |
Full Name | Summit Community Care Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 735 Us Highway 24, Leadville, Colorado |
Authorized Official Name and Position | Daniel Becker (CEO) |
Authorized Official Contact | 9708228616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Community Care Clinic, Inc. Po Box 4337 Frisco CO 80443-4337 Ph: (970) 668-4040 | Summit Community Care Clinic, Inc. 735 Us Highway 24 Leadville CO 80461-3978 Ph: (970) 668-4040 |
NPI Number | 1992583710 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 06/13/2024 |
Medicare PECOS PAC ID | 8022284074 |
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Medicare Enrollment ID | O20240425002914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992583710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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