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General NPI Number Information
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NPI Number | 1023980794
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Entity Type | Organization
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Legal Business Name | SUMMIT COMMUNITY CARE CLINIC, INC.
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 50 BEELER PL
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City | FRISCO
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State | CO
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Zip | 80443-5186
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Country | US
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Telephone | 970-668-4040
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Fax | 970-692-8301
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Provider Business Mailing Address
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Address Line | PO BOX 4337
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City | FRISCO
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State | CO
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Zip | 80443-4337
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Country | US
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Telephone | 970-668-4040
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Fax | 970-692-8301
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Authorized Official
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Title or Position | CEO
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Name | JOSH COGDILL
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Credential |
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Telephone | 970-668-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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