NPIMap

Organization Active NPI

Summit Community Care Clinic, Inc.

Doing business as Elevated Community Health

  • Federally Qualified Health Center (FQHC)
  • Leadville, CO
National Provider Identifier
1245897008
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SUMMIT COMMUNITY CARE CLINIC, INC.
Doing business as
Elevated Community Health
Practice address
130 W 12TH St
Leadville, CO 80461-3415
Phone
(970) 668-4040
NPI assigned
May 28, 2019
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Josh Cogdill
Title
Ceo
Phone
(970) 668-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

130 W 12TH St
Leadville, CO 80461-3415

Mailing address

PO Box 4337
Frisco, CO 80443-4337
Phone (970) 668-4040

Other names 1

  • Elevated Community Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Community Care Clinic18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

130 W 12th St
Leadville, CO 80461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1245897008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4337",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434337",
            "telephone_number": "970-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 12TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613415",
            "telephone_number": "970-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COMMUNITY CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "COGDILL",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-668-4040"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leadville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.