Organization
SUMMIT COMMUNITY CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BECKER (CEO)
(970) 668-4040
Entity
Organization
Contact information
Practice address
223 HARRISON AVE, LEADVILLE, CO 80461-3392
(970) 668-4040
(970) 668-6699
Mailing address
PO BOX 4337, 360 PEAK ONE DRIVE SUITE 100, FRISCO, CO 80443-4337
(970) 668-4040
(970) 668-6699
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
06/13/2024
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