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CHC28361-06 Summit Community Care Clinic (Active)
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Main Details
Name
Summit Community Care Clinic
Subdivision Name
Lake County High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016817
340B ID
CHC28361-06
Grant Number
H80CS28361
Additional Details
Current Program Status
Active
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/2/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Summit Community Care Clinic
Daniel Brian Becker, CEO
(970) 424-4899
Primary Contact
Summit Community Care Clinic
Amanda Louise Craig, CFO
(970) 710-5062
Addresses
Street Address
1000 W. 4th Street
Leadville, CO 80461
Billing Address
Summit Community Care Clinic
PO BOX 4337
Frisco, CO 80443
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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