SUMMIT COMMUNITY CARE CLINIC INC. NPI 1215422720

NPI Information

NPI: 1215422720
Provider Name: SUMMIT COMMUNITY CARE CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: ELEVATED COMMUNITY HEALTH
CLIA Number: 06D1057159
Address: 640 HATHAWAY ST
FAIRPLAY, CO
ZIP 80440
Phone: (970) 668-4040

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NPI Details

SUMMIT COMMUNITY CARE CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Fairplay, CO. SUMMIT COMMUNITY CARE CLINIC, INC. NPI is 1215422720. The provider is registered as an organization entity type.
The provider Is Doing Business As Elevated Community Health.

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 Josh Cogdill .
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 12/30/2024.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 11/21/2025

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