Organization
DOLORES COUNTY HEALTH ASSOCIATION
Active
Organization
DOLORES COUNTY HEALTH ASSOCIATION
Active
Other names
Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE SMITH (EXECUTIVE DIRECTOR)
(970) 677-2291
Entity
Organization
Contact information
Practice address
495 W 4TH ST, DOVE CREEK, CO 81324-0576
(970) 677-2291
(970) 677-2540
Mailing address
PO BOX 576, DOVE CREEK, CO 81324-0576
(970) 677-2291
(970) 677-2540
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0589
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05682000
—
CO
Enumeration date
03/01/2006
Last updated
05/30/2012
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