SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC (NPI# 1003436767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003436767 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Other Organization Name | DOVE CREEK INTEGRATED HEALTHCARE |
| Practice Address |
495 W 4th St Dove Creek CO 81324-4900 |
| Mailing Address |
Po Box 1328 Durango CO 81302-1328 |
| Practice Telephone | 9706772291 |
| Practice Fax Number | 8332593484 |
| Mailing Telephone | 9702592162 |
| Mailing Fax Number | 9702475255 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | SHELLY BURKE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9700000000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Axis Health System | Doing Business As Name - Organization |
| Dove Creek Integrated Healthcare | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487025060 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 216 Highway 172, Durango, CO 81303-8295 | 2015-10-08 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1932192598 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2005-08-29 |
| 1285255364 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-30 |
| 1053931501 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 E Empire St, Cortez, CO 81321-2802 | 2020-04-24 |
| 1750901260 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-04-24 |
| 1114547866 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 E Empire St, Cortez, CO 81321-2802 | 2020-04-23 |
| 1487274130 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-23 |
| 1316567068 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1970 E 3rd Ave, Durango, CO 81301-5056 | 2020-04-23 |
| 1134748593 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-04-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC. | Axis Health System, 185 Suttle Street, Durango, CO 81303 |
| Street Address |
495 W 4TH ST |
| City | DOVE CREEK |
| State | CO |
| Zip Code | 81324-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954433 | Dolores County Health Association | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-0576 | 2006-03-01 |
| 1588284830 | Thomas Loyd Myers | Registered Nurse | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-04-16 |
| 1134748593 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-04-15 |
| 1669091914 | Jennifer Allen | Dental Hygienist | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-04-15 |
| 1720607187 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-04-15 |
| 1699301671 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-4900 | 2020-03-21 |
| 1689834046 | Justin M Possner | Family Medicine | 495 W 4th St, Dove Creek, CO 81324-4900 | 2008-06-10 |
| 1932268000 | Mark A. Schwartz | Physician Assistant | 495 W 4th St, Dove Creek, CO 81324-0576 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780106393 | Jordan Val Kofoed | Dentist | 495 West 4th Street, Dove Creek, CO 81324 | 2017-07-14 |
| 1932598273 | Janet Lowe | Dental Hygienist | 495 West Forth Street, Dolores County Health Associatio, Dove Creek, CO 81324 | 2015-01-09 |
| 1174772073 | Dolores County Commissioners | Public Health or Welfare | 425 North Main Street, Suite A, Dove Creek, CO 81324 | 2008-09-16 |
| 1801926530 | Dolores County School District Re No.2 | Local Education Agency (LEA) | 108 Highway 491, Dove Creek, CO 81324 | 2007-03-06 |
| 1831292176 | Dolores County Social Services | Ambulance | 409 North Main, Dove Creek, CO 81324 | 2006-09-05 |
| 1437143138 | Jennifer Albin | Occupational Therapist | 121 Hwy 491 West, Dove Creek, CO 81324 | 2005-09-08 |
| 1952897225 | Dove Creek Ambulance District | Ambulance | 222 S Guyrene St, Dove Creek, CO 81324-0285 | 2018-07-10 |
| 1396005443 | Mary Randolph | Registered Nurse | 497 West 4th Street, Dove Creek, CO 81324-0368 | 2012-05-23 |
| 1457616278 | Dustin Lee Patrick | Dentist | 495 W. 4th Street, Dove Creek, CO 81324-0576 | 2012-07-09 |
| 1912319898 | Therapy Solutions | Physical Therapist | 121 Highway 491 West, Dove Creek, CO 81324-0664 | 2014-05-27 |
| Find all providers in zip 81324 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
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| 1437763968 | Arapahoe Mental Health Center, Inc | Clinic/Center | 9235 Crown Crest Blvd Ste 125, Parker, CO 80138-8880 | 2020-09-02 |
| 1528671880 | Natural Embodiment LLC | Clinic/Center | 640 Arapahoe Ave Apt 6, Boulder, CO 80302-5920 | 2020-08-26 |
| 1457963514 | Summitstone Health Partners | Clinic/Center | 810 E 10th St, Loveland, CO 80537-4946 | 2020-08-20 |
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | DOVE CREEK |
| Zip Code | 81324 |
Please comment or provide details below to improve the information on SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
| 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.