Organization
DOLORES COUNTY SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTA JOAN THOMPSON (INCOME MAINTENANCE)
(970) 677-2250
Entity
Organization
Contact information
Practice address
409 NORTH MAIN, DOVE CREEK, CO 81324
(970) 677-2250
(970) 677-2859
Mailing address
PO BOX 485, DOVE CREEK, CO 81324-0485
(970) 677-2250
(970) 677-2859
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06200174
MEDICAID PROVIDER
—
01
—
127249
TRADING PARTNER
—
Enumeration date
09/05/2006
Last updated
09/11/2025
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