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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