SUMMIT COMMUNITY CARE CLINIC, INC. (NPI# 1972162006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972162006 |
| Entity Type | Organization |
| Organization Name | SUMMIT COMMUNITY CARE CLINIC, INC. |
| Practice Address |
727 Cove Blvd Dillon CO 80435-8802 |
| Mailing Address |
Po Box 4337 Frisco CO 80443-4337 |
| Practice Telephone | 9706684040 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| 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 |
|---|---|---|---|---|
| 1083274955 | Summit Community Care Clinic, Inc. | Clinic/Center | 312 S Harris Street, Breckenridge, CO 80424 | 2019-06-13 |
| 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 |
727 COVE BLVD |
| City | DILLON |
| State | CO |
| Zip Code | 80435-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861029043 | Therese White Msw Lcsw Therapeutic Services LLC | Social Worker | 124 Main St. Suite 305, Dillon, CO 80435 | 2020-03-26 |
| 1588297071 | Milagros Sarmiento Shoemaker | Counselor | 409 Main St Ste 220f, Dillon, CO 80435 | 2020-02-13 |
| 1114584232 | Scw Recovery LLC | Substance Abuse Rehabilitation Facility | 330 Fiedler Ave, Ste 103, Dillon, CO 80435 | 2019-05-23 |
| 1922662600 | Rebecca Diann Holcomb | Doula | 11 Corinthian Circle, Apartment, Dillon, CO 80435 | 2019-04-27 |
| 1023460565 | Dillon Mvfd, Pllc | Dentist | 330 Dillon Ridge Way, #3, Dillon, CO 80435 | 2016-07-08 |
| 1366899163 | Paul Edward Redpath | Dentist | 330 Dillon Ridge Rd. Suite 1, Dillon, CO 80435 | 2016-05-21 |
| 1215392527 | Peak Vision | Eyewear Supplier (Equipment, not the service) | 256 Dillon Ridge Road, Dillon, CO 80435 | 2015-12-31 |
| 1588035901 | Vicki Carey | Counselor | 171 Alpine Road, Dillon, CO 80435 | 2015-10-12 |
| 1871984351 | Janette Cutts | Massage Therapist | 724 A East Anemone Trail, Dillon, CO 80435 | 2015-02-05 |
| 1861899544 | Kristen Oakley | Pharmacist | City Market Pharmacy, 300 U.S. 6, Dillon, CO 80435 | 2014-11-25 |
| Find all providers in zip 80435 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1255762936 | Caresouth Carolina, Inc | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2013-12-06 |
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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.