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NPI Code Detail

MEDICARE: SUMMITSTONE HEALTH PARTNERS

MEDICARE: SUMMITSTONE HEALTH PARTNERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1235599721
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMITSTONE HEALTH PARTNERS
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 2001 S SHIELDS ST STE G
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1834
Country : US
Telephone Number : 970-494-4200
Fax Number : 970-493-4382
Authorized Official
Title or Position : CEO
Name : CYNTHIA DODDS
Credential : LMFT
Telephone Number : 970-494-4200
Provider Enumeration Date : 02/26/2016
Last Update Date : 11/11/2024

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1093116550 — PEGGY A BORDEN RN, BSN
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1952884587 — DARCY PETERSON BA
Practice Location Address:
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1184192171 — MCKENNA MILLER B.A.
Practice Location Address:
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Directions to “SUMMITSTONE HEALTH PARTNERS ” Practice Location

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