NPIMap

Organization Active NPI

Dolores Medical Center

  • Rural Health Clinic/Center
  • Dolores, CO
National Provider Identifier
1366709263
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
NP 990365 Issued in CO
Legal business name
DOLORES MEDICAL CENTER
Practice address
507 Central Avenue
Dolores, CO 81323
Phone
(970) 882-7221
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Allan Burnside, MDNPI 1942280573
Title
MD
Phone
(970) 882-7221

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
Rural Health Clinic/Center 261QR1300X NP 990365 CO Primary

Addresses

Primary practice location

507 Central Avenue
Dolores, CO 81323

Mailing address

P.O Box 908
Dolores, CO 81323
Phone (970) 882-7221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1366709263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 908",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "81323",
            "telephone_number": "970-882-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CENTRAL AVENUE",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "81323",
            "telephone_number": "970-882-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "970-882-7221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CO",
            "license": "NP 990365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolores, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.