| Summit Community Care Clinic, Inc. | |
|
640 Hathaway St Fairplay CO 80440 | |
| (970) 668-4040 | |
| (970) 668-9410 |
| Full Name | Summit Community Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 640 Hathaway St, Fairplay, Colorado |
| Authorized Official Name and Position | Josh Cogdill (CEO) |
| Authorized Official Contact | 9706684040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Community Care Clinic, Inc. Po Box 4337 Frisco CO 80443-4337 Ph: (970) 668-4040 | Summit Community Care Clinic, Inc. 640 Hathaway St Fairplay CO 80440 Ph: (970) 668-4040 |
| NPI Number | 1215422720 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 8022284074 |
|---|---|
| Medicare Enrollment ID | O20181114000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215422720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
South Park Medical Group,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Castello Street, Fairplay, CO 80440 Phone: 719-836-1900 | |
Summit Community Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 Front St, Fairplay, CO 80440 Phone: 970-668-4040 | |
Salida Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Hathaway Street, Fairplay, CO 80440 Phone: 719-836-0334 | |
Bender Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Hathaway St, Fairplay, CO 80440 Phone: 719-836-1900 Fax: 719-836-3283 |