SOUTHWEST HEALTH SYSTEM INC. NPI 1578689527

NPI Information

NPI: 1578689527
Provider Name: SOUTHWEST HEALTH SYSTEM, INC.

Doing Business As: SOUTHWEST MEMORIAL PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1311A N MILDRED RD
CORTEZ, CO
ZIP 81321
Phone: (970) 565-8556
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SOUTHWEST HEALTH SYSTEM, INC. is a rural health clinic center in Cortez, CO. SOUTHWEST HEALTH SYSTEM, INC. NPI is 1578689527. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Memorial Primary Care.

The provider's business location address is:

1311A N MILDRED RD
CORTEZ, CO
ZIP 81321-231
Phone: (970) 565-8556
Fax: (970) 564-1134

The provider's authorized official is Travis Parker .
The authorized official title is Chief Human Resources Officer and has the following contact phone number (970) 564-2163.

The CLIA number assigned to this NPI record is 06D0518914 - other - hospital and rhc with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2007 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	0179	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00280585	MEDICAID	COLORADO
2	1578689527	MEDICAID	UTAH
3	400943	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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