DOLORES COUNTY COMMISSIONERS NPI 1174772073

NPI Information

DOLORES COUNTY COMMISSIONERS is a public health or welfare in Dove Creek, CO. DOLORES COUNTY COMMISSIONERS NPI is 1174772073. The provider is registered as an organization entity type.
The provider Is Doing Business As Dolores County Public Health.

The provider's business location address is:

425 NORTH MAIN STREET
SUITE A
DOVE CREEK, CO
ZIP 81324
Phone: (970) 677-2387
Fax: (970) 677-2948

The provider's authorized official is Mary Randolph .
The authorized official title is Director and has the following contact phone number (970) 677-2387.

The CLIA number assigned to this NPI record is 06D0666950 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 3/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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