SOUTHWEST HEALTH SYSTEM, INC. (NPI# 1679058184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679058184 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST HEALTH SYSTEM, INC. |
| Other Organization Name | SOUTHWEST MEMORIAL AMBULANCE |
| Practice Address |
1311 N Mildred Rd Cortez CO 81321-2231 |
| Practice Telephone | 9705642091 |
| Practice Fax Number | 9705642670 |
| Mailing Telephone | 9705642091 |
| Mailing Fax Number | 9705642670 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | ANTHONY SUDDUTH (CEO) |
| Authorized Official Telephone | 9705642150 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Southwest Memorial Ambulance | 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 |
| 1235655838 | Southwest Health System, Inc. | Clinic/Center | 1311a N Mildred Rd, Ste. A, Cortez, CO 81321 | 2017-08-16 |
| 1609274661 | Southwest Health System, Inc. | Clinic/Center | 418 S Sligo St, Cortez, CO 81321 | 2014-12-08 |
| Street Address |
1311 N MILDRED RD |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485599 | Kent R Aikin | Internal Medicine | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2005-11-29 |
| 1164037990 | Southwest Health System, Inc. | Medicare Defined Swing Bed Unit | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-09-09 |
| 1275157430 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-06-03 |
| 1992328074 | Southwest Health System, Inc. | Non-emergency Medical Transport (VAN) | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-05-22 |
| 1760945141 | Wallace Anesthesia Services Incorporated | Nurse Anesthetist, Certified Registered | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2019-04-11 |
| 1851863435 | Jennifer Kay Cropp | Pharmacist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-12-20 |
| 1538630397 | Micheal Francisco | Physical Therapist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-12-05 |
| 1558830638 | Jade Bryant | Pharmacist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-11-18 |
| 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 |
| 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 | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1114490745 | Limon Area Fire Protection District | Ambulance | 130 C Ave, Limon, CO 80828-5059 | 2019-01-07 |
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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.