| Summit Internal Medicine, Inc. | |
|
6179 S Balsam Way Ste 210 Littleton CO 80123-3093 | |
| (303) 347-2000 | |
| (720) 974-2197 |
| Full Name | Summit Internal Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6179 S Balsam Way Ste 210, Littleton, Colorado |
| Authorized Official Name and Position | Jared Davis (PHYSICIAN) |
| Authorized Official Contact | 7859797790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Internal Medicine, Inc. 6179 S Balsam Way Ste 210 Littleton CO 80123-3093 Ph: (303) 347-2000 | Summit Internal Medicine, Inc. 6179 S Balsam Way Ste 210 Littleton CO 80123-3093 Ph: (303) 347-2000 |
| NPI Number | 1245746635 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 1658630314 |
|---|---|
| Medicare Enrollment ID | O20180125002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245746635 | NPI | - | NPPES |
| 23775556 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
| Provider Name | Jared M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891938684 PECOS PAC ID: 3274789656 Enrollment ID: I20120820000406 |
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