SUMMIT COMMUNITY CARE CLINIC, INC. (NPI# 1619522430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619522430 |
| Entity Type | Organization |
| Organization Name | SUMMIT COMMUNITY CARE CLINIC, INC. |
| Practice Address |
1000 W 6th St Leadville CO 80461-3890 |
| Mailing Address |
Po Box 4337 Frisco CO 80443-4337 |
| Practice Telephone | 9706684040 |
| Mailing Telephone | 9706684040 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | LORI BOWMAN (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 |
| Other Name | Type Code |
|---|---|
| Lake County Intermediate SBHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274955 | Summit Community Care Clinic, Inc. | Clinic/Center | 312 S Harris Street, Breckenridge, CO 80424 | 2019-06-13 |
| 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 |
| 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 |
1000 W 6TH ST |
| City | LEADVILLE |
| State | CO |
| Zip Code | 80461-3890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336579143 | Molly Monahan | Acupuncturist | 135 E 13th St, Leadville, CO 80461 | 2013-11-14 |
| 1821329251 | Sarah R Cohn | Physician Assistant | 223 Harrison Ave, Leadville, CO 80461 | 2010-01-25 |
| 1003008681 | Barbara Lynn Marcum | Registered Nurse | 511 Harrison, Leadville, CO 80461 | 2007-08-16 |
| 1992855811 | Kevin Geoffrey King | Chiropractor | 135 East 13 St., Leadville, CO 80461 | 2007-01-11 |
| 1235202524 | Cloud City Medical Inc | Durable Medical Equipment & Medical Supplies | 735 Highway 24 South, Suite A, Leadville, CO 80461 | 2006-11-16 |
| 1417029141 | Joseph Douglas Yeakel | Specialist | 1760 County Rd 36, Leadville, CO 80461 | 2006-11-15 |
| 1467481309 | Teresa Michelle Haynes | Counselor | Leadville Professional Building, 735 Hwy 24 South, Suite B, Leadville, CO 80461 | 2006-07-02 |
| 1497710958 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th Street, Leadville, CO 80461 | 2006-04-19 |
| 1891750436 | St. Vincent General Hospital District | General Acute Care Hospital | 822 West 4th Street, Leadville, CO 80461 | 2006-04-18 |
| 1396743050 | Jacqueline Ann Duba | Physician Assistant | 825 W 6th St, Leadville, CO 80461 | 2005-07-07 |
| Find all providers in zip 80461 | ||||
| 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 |
|---|---|---|---|---|
| 1245897008 | Summit Community Care Clinic, Inc. | Clinic/Center | 130 W 12th St, Leadville, CO 80461-3415 | 2019-05-28 |
| 1437533031 | Summit Community Care Clinic, Inc. | Clinic/Center | 1000 W 4th St, Leadville, CO 80461-3800 | 2015-07-13 |
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| 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 | ||||
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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.