Summit Community Care Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUMMIT COMMUNITY CARE CLINIC, INC.

Practice address

735 US Highway 24
Leadville, CO 80461-3978

Phone

(970) 668-4040

NPI assigned

Sep 21, 2023

Organization subpart

No

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) 686-4040

Specialties & licenses 1

Addresses

Other names 1

• Elevated Community Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 061068

Legal name

SUMMIT COMMUNITY CARE CLINIC INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 25, 2024

Last certification

Apr 25, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

735 US Highway 24
Leadville, CO 80461-3978

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leadville, CO
  • NPI 1437533031

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1437575792

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dillon, CO
  • NPI 1588080956

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leadville, CO
  • NPI 1619522430

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Breckenridge, CO
  • NPI 1639595986

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Community Health Clinic/Center
  • Silverthorne, CO
  • NPI 1821414293

  8022284074

  Same PAC ID
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328

  8022284074

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328

  O20120517000087

  Same enrollment

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1992583710",
    "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": "735 US HIGHWAY 24",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613978",
            "telephone_number": "970-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COMMUNITY CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "COGDILL",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-686-4040"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Leadville, CO
• Providers in Leadville, CO by specialty
• Federally Qualified Health Center (FQHC) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.