Organization
SUMMIT COMMUNITY CARE CLINIC, INC.
Active
Other names
Elevated Community Health, Lake County Intermediate SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH COGDILL (CEO)
(970) 668-4040
Entity
Organization
Contact information
Practice address
1000 W 6TH ST, LEADVILLE, CO 80461-3890
(970) 668-4040
Mailing address
PO BOX 4337, FRISCO, CO 80443-4337
(970) 668-4040
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
12/30/2024
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