SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC (NPI# 1922549732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922549732 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Other Organization Name | ARCHULETA INTERGATED HEALTH |
| Practice Address |
52 Village Dr Pagosa Springs CO 81147-8368 |
| Mailing Address |
Po Box 1328 Durango CO 81302-1328 |
| Practice Telephone | 9702642104 |
| Practice Fax Number | 9702642108 |
| Mailing Telephone | 9702592162 |
| Mailing Fax Number | 9702475255 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | SHELLY BURKE (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9702592162 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04170098 | 05 |
| Other Name | Type Code |
|---|---|
| Archuleta Intergated Health | Other Name - Individual/Organization |
| Axis Health System | Doing Business As Name - 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 |
| 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 |
| 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 |
52 VILLAGE DR |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299395 | David E Drake | Psychiatry & Neurology | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2006-03-18 |
| 1285255364 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-30 |
| 1487274130 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-23 |
| 1679045173 | Kelly Pipkins-burt | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2018-12-20 |
| 1063980977 | Karen Hall | Social Worker | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2018-11-08 |
| 1932565967 | Jeanne Marotta | Registered Nurse | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2016-01-06 |
| 1134515984 | Mary Tracey | Nurse Practitioner | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2015-04-08 |
| 1912022435 | Paul K Meeker | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2007-03-21 |
| 1265541585 | Jennifer L Burleton | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| Find all providers in zip 81147 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467982157 | Sedona Wellness, LLC | Clinic/Center | 390 Boulder Dr Ste 100, Pagosa Springs, CO 81147-9889 | 2017-06-14 |
| 1205224987 | Massage Connection, LLC | Clinic/Center | 190 Talisman Dr # D7, Pagosa Springs, CO 81147-9171 | 2015-01-02 |
| 1912192832 | Pagosa Chiropractic | Clinic/Center | 705 San Juan Street, Pagosa Springs, CO 81147 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
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.