SUMMIT INTERNAL MEDICINE INC. NPI 1245746635

NPI Information

NPI: 1245746635
Provider Name: SUMMIT INTERNAL MEDICINE, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D2148495

Address:
6179 S BALSAM WAY STE 210
LITTLETON, CO
ZIP 80123
Phone: (303) 347-2000
Get Directions

SUMMIT INTERNAL MEDICINE, INC. is a primary care clinic center in Littleton, CO. SUMMIT INTERNAL MEDICINE, INC. NPI is 1245746635. The provider is registered as an organization entity type.

The provider's business location address is:

6179 S BALSAM WAY STE 210
LITTLETON, CO
ZIP 80123-093
Phone: (303) 347-2000
Fax: (720) 974-2197

The provider's authorized official is Jared Davis .
The authorized official title is Physician and has the following contact phone number (785) 979-7790.

The CLIA number assigned to this NPI record is 06D2148495 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 6/16/2018.

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	261QP2300X	Clinic/Center	Primary Care		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	Other Provider Identifier Issuer
1	23775556	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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