SOUTHWEST HEALTH SYSTEM, INC. (NPI# 1235655838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235655838 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST HEALTH SYSTEM, INC. |
| Other Organization Name | SOUTHWEST MEMORIAL SPECIALTY CARE |
| Practice Address |
1311a N Mildred Rd Ste. A Cortez CO 81321 |
| Mailing Address |
1311 N Mildred Rd Cortez CO 81321-2231 |
| Practice Telephone | 9705642681 |
| Practice Fax Number | 9705642682 |
| Mailing Telephone | 9705642152 |
| Mailing Fax Number | 9705642155 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MR. ANTHONY SUDDUTH (CEO) |
| Authorized Official Telephone | 9705642150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Memorial Specialty 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 |
| 1609274661 | Southwest Health System, Inc. | Clinic/Center | 418 S Sligo St, Cortez, CO 81321 | 2014-12-08 |
| Street Address |
1311A N MILDRED RD STE. A |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321 |
| 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 |
| 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 |
| 1700168721 | Brandon Dwayne Sanchez | Physician Assistant | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2011-09-15 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285614941 | Southwest Health System, Inc. | Clinic/Center | 1413 N Mildred Rd, Cortez, CO 81321 | 2006-01-19 |
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| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
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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.