| Summit Community Care Clinic, Inc. | |
|
1000 W 4th St Leadville CO 80461-3800 | |
| (970) 668-4040 | |
| Not Available |
| Full Name | Summit Community Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W 4th St, Leadville, Colorado |
| Authorized Official Name and Position | Daniel Becker (CEO) |
| Authorized Official Contact | 9706684040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Community Care Clinic, Inc. Po Box 4337 Frisco CO 80443-4337 Ph: (970) 668-4040 | Summit Community Care Clinic, Inc. 1000 W 4th St Leadville CO 80461-3800 Ph: (970) 668-4040 |
| NPI Number | 1437533031 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 8022284074 |
|---|---|
| Medicare Enrollment ID | O20160217001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437533031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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