SUMMIT COMMUNITY CARE CLINIC, INC. (NPI# 1215422720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215422720 |
| Entity Type | Organization |
| Organization Name | SUMMIT COMMUNITY CARE CLINIC, INC. |
| Practice Address |
640 Hathaway St Fairplay CO 80440 |
| Mailing Address |
Po Box 4337 Frisco CO 80443-4337 |
| Practice Telephone | 9706684040 |
| Practice Fax Number | 9706689410 |
| Mailing Telephone | 9706684040 |
| Mailing Fax Number | 9706686699 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | EDNA CRISTANCHO ROBERTS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9706686892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274955 | Summit Community Care Clinic, Inc. | Clinic/Center | 312 S Harris Street, Breckenridge, CO 80424 | 2019-06-13 |
| 1972162006 | Summit Community Care Clinic, Inc. | Clinic/Center | 727 Cove Blvd, Dillon, CO 80435-8802 | 2019-06-12 |
| 1144713900 | Summit Community Care Clinic, Inc. | Clinic/Center | 251 W 4th St, Silverthorne, CO 80498-9000 | 2018-06-07 |
| 1437575792 | Summit Community Care Clinic, Inc. | Clinic/Center | 158 School Road, Frisco, CO 80443 | 2014-03-11 |
| 1639595986 | Summit Community Care Clinic, Inc. | Clinic/Center | 16210 Highway 9, Breckenridge, CO 80424 | 2014-03-11 |
| 1588080956 | Summit Community Care Clinic, Inc. | Clinic/Center | 0108 Deerpath Road, Dillon, CO 80435 | 2014-03-10 |
| 1821414293 | Summit Community Care Clinic, Inc. | Clinic/Center | 101 Hamilton Creek Road, Silverthorne, CO 80498 | 2014-03-10 |
| 1619522430 | Summit Community Care Clinic, Inc. | Clinic/Center | 1000 W 6th St, Leadville, CO 80461-3890 | 2019-08-08 |
| 1871153726 | Summit Community Care Clinic, Inc. | Clinic/Center | 800 8th Avenue, Frisco, CO 80443 | 2019-06-13 |
| 1033779996 | Summit Community Care Clinic, Inc. | Clinic/Center | 1200 Airport Road, Breckenridge, CO 80424 | 2019-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT COMMUNITY CARE CLINIC, INC. | 360 Peak One Dr Ste 100, Frisco, CO 80443 |
| Colorado Business Entities | SUMMIT COMMUNITY CARE CLINIC, INC. | 360 Peak One Drive, Suite 100, Frisco, CO 80443 |
| Street Address |
640 HATHAWAY ST |
| City | FAIRPLAY |
| State | CO |
| Zip Code | 80440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264547 | Abigail Ferguson | Counselor | 640 Hathaway Street, Fairplay, CO 80440 | 2018-08-13 |
| 1235628199 | Adam Fyler | Counselor | 760 Bogue St, Fairplay, CO 80440 | 2018-05-07 |
| 1174988851 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 970 Castello Ave, Fairplay, CO 80440 | 2015-12-22 |
| 1588034854 | Shirlene Davis | Massage Therapist | 295 5th Street, #7, Fairplay, CO 80440 | 2015-09-30 |
| 1154743979 | Medcare LLC | Nurse Practitioner | 45 Frontage Road, Fairplay, CO 80440 | 2014-01-14 |
| 1316382682 | High Mountain Hygiene, PC | Dental Hygienist | 548 Front St., Suite C, Fairplay, CO 80440 | 2013-05-01 |
| 1790041044 | Lynn Ann Ramey | Registered Nurse | 899 Steinfelt Pkwy, Fairplay, CO 80440 | 2012-04-11 |
| 1881950137 | Betty Elizabeth Ballman Mclain | Registered Nurse | 899 Steinfelt Parkway, Fairplay, CO 80440 | 2012-04-11 |
| 1588968820 | Nancy Kay Roth | Speech-Language Pathologist | 5166 Platte River Dr, Fairplay, CO 80440 | 2010-12-30 |
| 1073816484 | Dianne Marie Spomer | Specialist | 548 Front St, Fairplay, CO 80440 | 2010-12-08 |
| Find all providers in zip 80440 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713900 | Summit Community Care Clinic, Inc. | Clinic/Center | 251 W 4th St, Silverthorne, CO 80498-9000 | 2018-06-07 |
| 1225231384 | Planned Parenhood of The Rocky Mountain | Clinic/Center | 1221 S Alton Ct, Denver, CO 80247-2321 | 2007-06-07 |
| 1831219328 | Summit Community Care Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 100, Frisco, CO 80443 | 2007-03-30 |
| 1245222462 | Montrose County Family Planning | Clinic/Center | 1845 S Townsend Ave, Montrose, CO 81401-5448 | 2005-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.