| Summitstone Clinic | |
|
1250 N Wilson Ave Loveland CO 80537-4461 | |
| (970) 494-9789 | |
| (970) 663-0073 |
| Full Name | Summitstone Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 N Wilson Ave, Loveland, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summitstone Clinic 2930 11th Ave Evans CO 80620-1011 Ph: () - | Summitstone Clinic 1250 N Wilson Ave Loveland CO 80537-4461 Ph: (970) 494-9789 |
| NPI Number | 1750660726 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 05/29/2023 |
| Medicare PECOS PAC ID | 0648164780 |
|---|---|
| Medicare Enrollment ID | O20120106000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750660726 | NPI | - | NPPES |
| 25758241 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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