MEDICARE: DOLORES COUNTY SOCIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	341600000X	Ambulance
2	3416A0800X	Air Ambulance
3	3416L0300X	Land Ambulance
4	344600000X	Taxi
5	347B00000X	Bus
6	347C00000X	Private Vehicle
7	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	127249	OTHER		TRADING PARTNER

General Provider Information

NPI Number	:	1831292176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLORES COUNTY SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 485
Second Line	:
City	:	DOVE CREEK
State	:	CO
Zip	:	81324-0485
Country	:	US
Telephone Number	:	970-677-2250
Fax Number	:	970-677-2859

Provider Business Practice Location Address
First Line	:	409 NORTH MAIN
Second Line	:
City	:	DOVE CREEK
State	:	CO
Zip	:	81324
Country	:	US
Telephone Number	:	970-677-2250
Fax Number	:	970-677-2859

Authorized Official
Title or Position	:	INCOME MAINTENANCE
Name	:	ETTA JOAN THOMPSON
Credential	:
Telephone Number	:	970-677-2250

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	09/11/2025

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Directions to “DOLORES COUNTY SOCIAL SERVICES ” Practice Location

Language	Start Address	Practice Location

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