SUMMIT COMMUNITY CARE CLINIC, INC. (NPI# 1083274955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083274955 |
| Entity Type | Organization |
| Organization Name | SUMMIT COMMUNITY CARE CLINIC, INC. |
| Practice Address |
312 S Harris Street Breckenridge CO 80424 |
| Mailing Address |
Po Box 4337 Frisco CO 80443-4337 |
| Practice Telephone | 9706684040 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | LORI BOWMAN (CONSULTANT-CREDENTIALING) |
| Authorized Official Telephone | 9702311294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162006 | Summit Community Care Clinic, Inc. | Clinic/Center | 727 Cove Blvd, Dillon, CO 80435-8802 | 2019-06-12 |
| 1215422720 | Summit Community Care Clinic, Inc. | Clinic/Center | 640 Hathaway St, Fairplay, CO 80440 | 2018-06-27 |
| 1144713900 | Summit Community Care Clinic, Inc. | Clinic/Center | 251 W 4th St, Silverthorne, CO 80498-9000 | 2018-06-07 |
| 1437575792 | Summit Community Care Clinic, Inc. | Clinic/Center | 158 School Road, Frisco, CO 80443 | 2014-03-11 |
| 1639595986 | Summit Community Care Clinic, Inc. | Clinic/Center | 16210 Highway 9, Breckenridge, CO 80424 | 2014-03-11 |
| 1588080956 | Summit Community Care Clinic, Inc. | Clinic/Center | 0108 Deerpath Road, Dillon, CO 80435 | 2014-03-10 |
| 1821414293 | Summit Community Care Clinic, Inc. | Clinic/Center | 101 Hamilton Creek Road, Silverthorne, CO 80498 | 2014-03-10 |
| 1619522430 | Summit Community Care Clinic, Inc. | Clinic/Center | 1000 W 6th St, Leadville, CO 80461-3890 | 2019-08-08 |
| 1871153726 | Summit Community Care Clinic, Inc. | Clinic/Center | 800 8th Avenue, Frisco, CO 80443 | 2019-06-13 |
| 1033779996 | Summit Community Care Clinic, Inc. | Clinic/Center | 1200 Airport Road, Breckenridge, CO 80424 | 2019-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT COMMUNITY CARE CLINIC, INC. | 360 Peak One Dr Ste 100, Frisco, CO 80443 |
| Colorado Business Entities | SUMMIT COMMUNITY CARE CLINIC, INC. | 360 Peak One Drive, Suite 100, Frisco, CO 80443 |
| Street Address |
312 S HARRIS STREET |
| City | BRECKENRIDGE |
| State | CO |
| Zip Code | 80424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864954 | Indigo Bilingual Counseling | Counselor | 106 N French Street, Breckenridge, CO 80424 | 2020-09-02 |
| 1043832702 | Summit Orthopedics Pllc | Clinic/Center | 555 S Park Avenue, Breckenridge, CO 80424 | 2020-05-15 |
| 1467083162 | Allison Langley | Doula | 110 S. Park Ave. #118, Breckenridge, CO 80424 | 2020-01-31 |
| 1699322800 | Vail Clinic, Inc. | Clinic/Center | 505 South Main Street, Breckenridge, CO 80424 | 2019-08-22 |
| 1447805247 | Alaina Carol Wischmeyer | Chiropractor | 424 S. Ridge St, Breckenridge, CO 80424 | 2019-08-08 |
| 1861055295 | Premiere Physical Therapy LLC | Physical Medicine & Rehabilitation | 97 Rachel Lane, Breckenridge, CO 80424 | 2019-04-22 |
| 1649737313 | Nicholas Brown Dds PC | Clinic/Center | 235 S Ridge Street, Suite 2b, Breckenridge, CO 80424 | 2019-02-28 |
| 1023573342 | Amanda Meehan | Massage Therapist | 435 N Park Ave, Breckenridge, CO 80424 | 2019-02-01 |
| 1982196804 | Kristin Jennifer Esber | Massage Therapist | 435 North Park Avenue, Breckenridge, CO 80424 | 2018-06-06 |
| 1750898342 | Morgan E Sneller | Physical Therapist | 505a S Main St, Breckenridge, Breckenridge, CO 80424 | 2018-01-04 |
| Find all providers in zip 80424 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033779996 | Summit Community Care Clinic, Inc. | Clinic/Center | 1200 Airport Road, Breckenridge, CO 80424 | 2019-06-13 |
| 1417248824 | Shackelford County Community Resource Center | Clinic/Center | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2011-04-20 |
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|---|---|---|---|---|
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| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 80424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.