Organization
SUMMIT COMMUNITY CARE CLINIC, INC.
Active
Other names
Elevated Community Health Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH COGDILL (CEO)
(970) 686-4040
Entity
Organization
Contact information
Practice address
360 PEAK ONE DR STE 380, FRISCO, CO 80443-5870
(970) 668-4040
(970) 692-8301
Mailing address
PO BOX 202058, DALLAS, TX 75320-2058
(970) 686-4040
(970) 692-8301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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