Provider Demographics
NPI:1275903841
Name:MOFFAT COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:MOFFAT COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:970-824-8282
Mailing Address - Street 1:595 BREEZE ST
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-2601
Mailing Address - Country:US
Mailing Address - Phone:970-824-8282
Mailing Address - Fax:970-824-9552
Practice Address - Street 1:595 BREEZE ST
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2601
Practice Address - Country:US
Practice Address - Phone:970-824-8282
Practice Address - Fax:970-824-9552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance