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SUMMIT COMMUNITY CARE CLINIC INC. NPI 1215422720


NPI Information

NPI: 1215422720
Provider Name: SUMMIT COMMUNITY CARE CLINIC, INC.
Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

CLIA Number: 06D1057159

Address:
640 HATHAWAY ST
FAIRPLAY, CO
ZIP 80440
Phone: (970) 668-4040
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SUMMIT COMMUNITY CARE CLINIC, INC. is a family planning and non-surgical clinic center in Fairplay, CO. The provider is 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. SUMMIT COMMUNITY CARE CLINIC, INC. NPI is 1215422720. The provider is registered as an organization entity type.

The provider's business location address is:

640 HATHAWAY ST
FAIRPLAY, CO
ZIP 80440
Phone: (970) 668-4040
Fax: (970) 668-9410

The provider's authorized official is Daniel Becker .
The authorized official title is Ceo and has the following contact phone number (970) 668-4040.

The CLIA number assigned to this NPI record is 06D1057159 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/27/2018 and was last updated on 12/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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