Provider Demographics
NPI:1699987982
Name:COMMUNITY OPTIONS, INC.
Entity type:Organization
Organization Name:COMMUNITY OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASS'T DIRECTOR ADMINISTRATIVE SVCS.
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:DAHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-249-1412
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-0031
Mailing Address - Country:US
Mailing Address - Phone:970-249-1412
Mailing Address - Fax:970-249-0245
Practice Address - Street 1:336 S 10TH ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4934
Practice Address - Country:US
Practice Address - Phone:970-249-1412
Practice Address - Fax:970-249-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26583887Medicaid