Healthcare Provider Details

I. General information

NPI: 1669475000
Provider Name (Legal Business Name): SUMMIT O2 & HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 REDTAIL CT
DILLON CO
80435-8458
US

IV. Provider business mailing address

PO BOX 23518
SILVERTHORNE CO
80498-3518
US

V. Phone/Fax

Practice location:
  • Phone: 970-513-1183
  • Fax: 970-724-9787
Mailing address:
  • Phone: 970-531-1183
  • Fax: 970-724-9787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number40705800001
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number40705800001
License Number StateCO

VIII. Authorized Official

Name: MR. JEFFREY BRIAN MILLER
Title or Position: PRESIDENT
Credential: RT
Phone: 970-513-1183