Summit Community Care Clinic, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Fairplay, CO
NPI 1215422720 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1215422720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SUMMIT COMMUNITY CARE CLINIC, INC.
- Practice address
- 640 Hathaway St
Fairplay, CO 80440 - Phone
- (970) 668-4040
- Fax
- (970) 668-9410
- NPI assigned
- Jun 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Josh Cogdill
- Title
- Ceo
- Phone
- (970) 668-4040
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
640 Hathaway St
Fairplay, CO 80440
Mailing address
PO Box 4337
Frisco, CO 80443-4337
Phone (970) 668-4040
Other names
- Elevated Community Health
Other providers in Fairplay, CO
- Patricia Schoville
- South Park Ambulance District
- South Park Medical Group,PC
- Emma Jayne Spofford
- Dianne Marie Spomer
- Summit Community Care Clinic, Inc.
- Timberline Clinic, Inc.
- Susan Hele Van Orden
- Jack Walsh
- Eileen Diana Webster
All providers in Fairplay, CO · Federally Qualified Health Center (FQHC) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.