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SUMMIT MEDICAL CARE CENTER LLC NPI 1508229584


NPI Information

NPI: 1508229584
Provider Name: SUMMIT MEDICAL CARE CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
54 GARDEN CTR
BROOMFIELD, CO
ZIP 80020
Phone: (303) 466-3232
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SUMMIT MEDICAL CARE CENTER, LLC is a general practice in Broomfield, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SUMMIT MEDICAL CARE CENTER, LLC NPI is 1508229584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

54 GARDEN CTR
BROOMFIELD, CO
ZIP 80020-730
Phone: (303) 466-3232
Fax: (303) 466-0110

The provider's authorized official is Bradley L Richardson .
The authorized official title is Member and has the following contact phone number (303) 466-3232.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 3/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeAPN-0991919-NPCOLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C469108MEDICARE PINCOLORADO
2G8931030MEDICARE PINCOLORADO
3AA38676253MEDICARE PINCOLORADO

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

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