NPIMap

Organization Active NPI

Dolores County Commissioners

  • Public Health or Welfare Agency
  • Dove Creek, CO
National Provider Identifier
1174772073
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DOLORES COUNTY COMMISSIONERS
Practice address
425 North Main Street
Suite a
Dove Creek, CO 81324
Phone
(970) 677-2387
Fax
(970) 677-2948
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Randolph, RNNPI 1396005443
Title
Director
Phone
(970) 677-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

425 North Main Street
Suite a
Dove Creek, CO 81324

Mailing address

Box 368
Dove Creek, CO 81324
Phone (970) 677-2387

Other names 1

  • Dolores County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000562 CO Part B Supplier - Mass Immunization (Roster Biller Only) 9537138433 Practice locations: Dove Creek, CO

National Provider Directory

National Provider Directory
Tax ID family
Dolores County Commissioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1174772073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 368",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "81324",
            "telephone_number": "970-677-2387",
            "fax_number": "970-677-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH MAIN STREET",
            "address_2": "SUITE A",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "81324",
            "telephone_number": "970-677-2387",
            "fax_number": "970-677-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-677-2387",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dolores County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dove Creek, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.