Organization
SUMMIT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ONEILL CPC (BILLING MANAGER)
(303) 993-5651
Entity
Organization
Contact information
Practice address
2317 SAN JUAN AVE, LA JUNTA, CO 81050-3340
(719) 388-3232
(719) 383-2337
Mailing address
850 E HARVARD AVE STE 305, DENVER, CO 80210-5076
(303) 993-5651
(303) 552-5730
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/20/2023
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