| Summit Medical Care, LLC | |
|
54 Garden Ctr Broomfield CO 80020-1730 | |
| (303) 877-5458 | |
| Not Available |
| Full Name | Summit Medical Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 54 Garden Ctr, Broomfield, Colorado |
| Authorized Official Name and Position | Brad Richardson (OWNER) |
| Authorized Official Contact | 3038775458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Care, LLC 54 Garden Ctr Broomfield CO 80020-1730 | Summit Medical Care, LLC 54 Garden Ctr Broomfield CO 80020-1730 Ph: (303) 877-5458 |
| NPI Number | 1598378051 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Medicare PECOS PAC ID | 4385033778 |
|---|---|
| Medicare Enrollment ID | O20211104002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598378051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Bradley L Richardson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144373945 PECOS PAC ID: 3577477819 Enrollment ID: I20031120000104 |
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