SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC (NPI# 1750901260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750901260 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Practice Address |
1125 Three Springs Blvd Durango CO 81301-9033 |
| Mailing Address |
Po Box 1328 Durango CO 81302-1328 |
| Practice Telephone | 9704030180 |
| Practice Fax Number | 9704030190 |
| Mailing Telephone | 9703352244 |
| Mailing Fax Number | 9703552439 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | SHELLY BURKE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9703352201 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Axis Health | Doing Business As Name - Organization |
| Crossroads | 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 |
| 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 |
| 1003436767 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-4900 | 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 |
1125 THREE SPRINGS BLVD |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105644 | Paul A Mattox | Psychiatry & Neurology | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2006-08-25 |
| 1912505603 | Kelly Brennan | Registered Nurse | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-10-14 |
| 1770110926 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-03-26 |
| 1578196572 | Ernest Garcia | Registered Nurse | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-02-18 |
| 1376189860 | Kimberly Mae Williams | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2019-11-20 |
| 1891264677 | Caitlin Marie Morris | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-11-21 |
| 1689141848 | Kathryn Marston Lundvall | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-10-25 |
| 1013492123 | Joseph Frank Prekup | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-09-25 |
| 1013412709 | Tracy Farmer | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301 | 2018-03-26 |
| 1083122261 | Taylor Paige Messina | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567068 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1970 E 3rd Ave, Durango, CO 81301-5056 | 2020-04-23 |
| 1417295783 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1356956288 | Community Reach Center, Inc | Clinic/Center | 2551 W 84th Ave Ste 2, Westminster, CO 80031-3807 | 2020-09-08 |
| 1053926980 | Community Reach Center, Inc | Clinic/Center | 100 Spader Way Ste 267, Broomfield, CO 80020-2441 | 2020-09-08 |
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1679183503 | Flatirons Recovery Center, LLC | Clinic/Center | 2770 Dagny Way Ste 202, Lafayette, CO 80026-8013 | 2020-08-05 |
| 1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1841820644 | Advantage Treatment Centers Inc | Clinic/Center | 2017 Lava Ln, Alamosa, CO 81101-3578 | 2020-01-21 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
| 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.