Summit Community Care Clinic Inc

A Medicare group practice based in Leadville, CO: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 8022284074), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8022284074The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
9
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20240425002914 CO Part A Provider - Federally Qualified Health Center (FQHC) 1992583710
O20240903001993 CO Part A Provider - Federally Qualified Health Center (FQHC) 1619522430
O20121220000364 CO Part A Provider - Federally Qualified Health Center (FQHC) 1831219328
O20120517000087 CO Part B Supplier - Clinic/Group Practice 1831219328
O20160217001484 CO Part A Provider - Federally Qualified Health Center (FQHC) 1437533031
O20151030000857 CO Part A Provider - Federally Qualified Health Center (FQHC) 1588080956
O20151028002083 CO Part A Provider - Federally Qualified Health Center (FQHC) 1639595986
O20151029002450 CO Part A Provider - Federally Qualified Health Center (FQHC) 1437575792
O20151028002526 CO Part A Provider - Federally Qualified Health Center (FQHC) 1821414293

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (13).

Sources for this page