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Organization

SUMMIT COMMUNITY CARE CLINIC, INC.

Active
Other names
Elevated Community Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH COGDILL (CEO)
(970) 668-4040
Entity
Organization

Contact information

Practice address
1200 AIRPORT ROAD, BRECKENRIDGE, CO 80424
(970) 668-4040
(970) 668-6699
Mailing address
PO BOX 4337, FRISCO, CO 80443-4337

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/13/2019
Last updated
12/27/2024
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