SUMMER DAWN LONG PAC NPI 1518903574

NPI Information

NPI: 1518903574
Provider Name: SUMMER DAWN LONG, PAC
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: SCL HEALTH MEDICAL GROUP - GRAND JUNCTION LLC

PECOS Registration: Yes

Address:
743 HORIZON COURT
STE 105
GRAND JUNCTION, CO
ZIP 81506
Phone: (970) 244-8708
Get Directions

Summer Dawn Long, PAC is a cardiovascular disease internal medicine in Grand Junction, CO with 19 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Summer Dawn Long, PAC NPI is 1518903574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

743 HORIZON COURT
STE 105
GRAND JUNCTION, CO
ZIP 81506
Phone: (970) 244-8708

The NPI 1518903574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/14/2010.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	2182	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q67075	MEDICARE UPIN
2	86334051	MEDICAID	COLORADO
3	805119	MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

NPI Synchronization or Removal

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