| Organization Name: | SUMMIT COMMUNITY CARE CLINIC, INC. |
| NPI Number: | 1821414293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH VAINE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 101 Hamilton Creek Road Silverthorne |
| State: | CO US |
| Postal Code: | 80498 |
| Phone Number: | 9706684040 |
| Fax Number: | 9706686699 |
| NPI Enumeration Date: | 03/10/2014 |
| NPI Last Update Date: | 03/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 18L200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |