DOLORES MEDICAL CENTER PC (NPI# 1952414260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952414260 |
| Entity Type | Organization |
| Organization Name | DOLORES MEDICAL CENTER PC |
| Practice Address |
507 Central Dolores CO 81323-0908 |
| Mailing Address |
Po Box 908 Dolores CO 81323-0908 |
| Practice Telephone | 9708827221 |
| Practice Fax Number | 9708824243 |
| Mailing Telephone | 9708827221 |
| Mailing Fax Number | 9708824243 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALLAN SCOTT BURNSIDE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9708827221 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 32885 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 12635871 | 05 |
| Street Address |
507 CENTRAL |
| City | DOLORES |
| State | CO |
| Zip Code | 81323-0908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557133 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1301 Central Ave, Dolores, CO 81323 | 2020-10-30 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1316300544 | Kara Kraus | Specialist/Technologist | 812 Central Ave., Apt. #5, Dolores, CO 81323 | 2016-04-04 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1154508448 | Kevin Ray Keith | Speech-Language Pathologist | 20 S Market, Cortez, CO 81323 | 2008-01-29 |
| 1043349285 | Dolores School District Re-4a | Local Education Agency (LEA) | 100 N. 6th Street, Dolores, CO 81323 | 2007-03-05 |
| 1063813327 | Rakhat Ashymov | Physician Assistant | 507 Central Avenue, Dolores, CO 81323 | 2014-09-05 |
| 1194064634 | Sandra Mcguire | Clinical Nurse Specialist | 507 Central Avenue, Dolores, CO 81323 | 2013-02-04 |
| 1942280573 | Allan Scott Burnside | Family Medicine | 507 Central Ave, Dolores, CO 81323 | 2006-01-19 |
| 1316083876 | Eric Joseph Breitenbach | Chiropractor | 18483 Highway 145, Dolores, CO 81323-0805 | 2007-01-30 |
| Find all providers in zip 81323 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.