DOLORES COUNTY HEALTH ASSOCIATION NPI 1710954433

NPI Information

NPI: 1710954433
Provider Name: DOLORES COUNTY HEALTH ASSOCIATION

Other Name: COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
495 W 4TH ST
DOVE CREEK, CO
ZIP 81324
Phone: (970) 677-2291
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DOLORES COUNTY HEALTH ASSOCIATION is a federally qualified health center (fqhc) clinic center in Dove Creek, CO. DOLORES COUNTY HEALTH ASSOCIATION NPI is 1710954433. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Clinic.

The provider's business location address is:

495 W 4TH ST
DOVE CREEK, CO
ZIP 81324-576
Phone: (970) 677-2291
Fax: (970) 677-2540

The provider's authorized official is Dianne Smith .
The authorized official title is Executive Director and has the following contact phone number (970) 677-2291.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 5/30/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0589	COLORADO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061804	MEDICARE ID-TYPE UNSPECIFIED
2	05682000	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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