| Summit Community Care Clinic, Inc. | |
|
223 Harrison Ave Leadville CO 80461-3392 | |
| (970) 668-4040 | |
| (970) 668-6699 |
| Full Name | Summit Community Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 223 Harrison Ave, Leadville, Colorado |
| Authorized Official Name and Position | Daniel Becker (CEO) |
| Authorized Official Contact | 9706684040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Community Care Clinic, Inc. Po Box 4337 360 Peak One Drive Suite 100 Frisco CO 80443-4337 Ph: (970) 668-4040 | Summit Community Care Clinic, Inc. 223 Harrison Ave Leadville CO 80461-3392 Ph: (970) 668-4040 |
| NPI Number | 1821450008 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821450008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Professional Dental Hygiene Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W 5th St, Suite 118 And 121, Leadville, CO 80461 Phone: 719-486-8285 | |
Leadville Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Us Highway 24, Unit A, Leadville, CO 80461 Phone: 719-486-2060 |