Summit Medical Care, Llc | |
54 Garden Ctr Broomfield CO 80020-1730 | |
(303) 877-5458 | |
Not Available |
Full Name | Summit Medical Care, Llc |
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Speciality | Clinic/Center |
Location | 54 Garden Ctr, Broomfield, Colorado |
Authorized Official Name and Position | Brad Richardson (OWNER) |
Authorized Official Contact | 3038775458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Medical Care, Llc 54 Garden Ctr Broomfield CO 80020-1730 Ph: () - | Summit Medical Care, Llc 54 Garden Ctr Broomfield CO 80020-1730 Ph: (303) 877-5458 |
NPI Number | 1598378051 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 08/26/2020 |
Medicare PECOS PAC ID | 4385033778 |
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Medicare Enrollment ID | O20211104002299 |
Identifier | Type | State | Issuer |
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1598378051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Bradley L Richardson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144373945 PECOS PAC ID: 3577477819 Enrollment ID: I20031120000104 |
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