SOUTHWEST HEALTH SYSTEM, INC. (NPI# 1578689527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578689527 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST HEALTH SYSTEM, INC. |
| Other Organization Name | SOUTHWEST MEMORIAL PRIMARY CARE |
| Practice Address |
1311a N Mildred Rd Cortez CO 81321-2231 |
| Mailing Address |
1311 N Mildred Rd Cortez CO 81321-2231 |
| Practice Telephone | 9705658556 |
| Practice Fax Number | 9705641134 |
| Mailing Telephone | 9705642258 |
| Mailing Fax Number | 9705642155 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | ANTHONY SUDDUTH (INTERIM CEO) |
| Authorized Official Telephone | 9705642150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0179 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1578689527 | 05 | |
| AZ | 400943 | 05 | |
| CO | 9000158343 | 05 | |
| CO | 00280585 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Memorial Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1932475894 | Southwest Health System, Inc. | Clinic/Center | 1311 N Mildred Road, Cortez, CO 81321-2231 | 2012-03-26 |
| 1285614941 | Southwest Health System, Inc. | Clinic/Center | 1413 N Mildred Rd, Cortez, CO 81321 | 2006-01-19 |
| 1104823939 | Southwest Health System, Inc. | General Acute Care Hospital | 118 N Chestnut, Cortez, CO 81321 | 2005-07-07 |
| 1164037990 | Southwest Health System, Inc. | Medicare Defined Swing Bed Unit | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-09-09 |
| 1992328074 | Southwest Health System, Inc. | Non-emergency Medical Transport (VAN) | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-05-22 |
| 1972078814 | Southwest Health System, Inc. | Nurse Practitioner | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-10-08 |
| 1659856169 | Southwest Health System, Inc. | Emergency Response System Companies | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-10-01 |
| 1679058184 | Southwest Health System, Inc. | Non-emergency Medical Transport (VAN) | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-10-01 |
| 1235655838 | Southwest Health System, Inc. | Clinic/Center | 1311a N Mildred Rd, Ste. A, Cortez, CO 81321 | 2017-08-16 |
| Street Address |
1311A N MILDRED RD |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853013 | Kevin M Matteson | Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321-2231 | 2005-06-29 |
| 1720548902 | Melissa Evon Sims | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-03-22 |
| 1760948897 | Sara Barrett | Social Worker | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-02-13 |
| 1295209211 | Caitlin Mooney | Physician Assistant | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-01-12 |
| 1235655838 | Southwest Health System, Inc. | Clinic/Center | 1311a N Mildred Rd, Ste. A, Cortez, CO 81321 | 2017-08-16 |
| 1750825964 | Erick Ireland | Physician Assistant | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2016-12-06 |
| 1699159178 | Jason Mack Eversole | Family Medicine | 1311a N Mildred Rd, Cortez, CO 81321 | 2015-07-15 |
| 1437596103 | Braden Jones | Orthopaedic Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321-2231 | 2013-06-04 |
| 1811231830 | Pamela Kay Clark | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-11-15 |
| 1639422801 | Nicholas E Preston | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
| Find all providers in zip 81321 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609274661 | Southwest Health System, Inc. | Clinic/Center | 418 S Sligo St, Cortez, CO 81321 | 2014-12-08 |
| 1083917868 | Southwest Health System, Inc. | Clinic/Center | 1413 N Mildred Rd, Cortez, CO 81321 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
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| 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.