SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC (NPI# 1932192598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932192598 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| Other Organization Name | COLUMBINE BEHAVIOR HEALTHCARE |
| Practice Address |
281 Sawyer Dr Suite 100 Durango CO 81303-3409 |
| Mailing Address |
Po Box 1328 Durango CO 81302-1328 |
| Practice Telephone | 9702592162 |
| Practice Fax Number | 9702475255 |
| Mailing Telephone | 9702592162 |
| Mailing Fax Number | 9702475255 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | SHELLY BURKE (CHIEF 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 | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04170098 | 05 |
| Other Name | Type Code |
|---|---|
| Axis Health System | Doing Business As Name - Organization |
| Columbine Behavior Healthcare | Other Name - Individual/Organization |
| Columbine Center | 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 |
| 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 |
| 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 |
281 SAWYER DR SUITE 100 |
| City | DURANGO |
| State | CO |
| Zip Code | 81303-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587645 | Adeline Bryant | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2020-01-15 |
| 1952838799 | Rosanna Marie Phillippi | Speech-Language Pathologist | 281 Sawyer Dr, Suite # 200, Durango, CO 81303-3409 | 2017-05-11 |
| 1710431036 | Sylvia Schmechel | Social Worker | 281 Sawyer Dr, Durango, CO 81303-3409 | 2016-08-04 |
| 1477913234 | Janice Bryan | Registered Nurse | 281 Sawyer Dr, Ste 300, Durango, CO 81303-3412 | 2016-03-07 |
| 1467818617 | Teresa Jennings | Social Worker | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2016-01-04 |
| 1306219258 | Olive A. Holmes | Social Worker | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-10-31 |
| 1831568641 | Tim Schaldach | Technician, Health Information | 281 Sawyer Dr, Durango, CO 81303-3409 | 2015-09-22 |
| 1922484914 | Jessica Kate Edelbaum | Marriage & Family Therapist | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2015-08-03 |
| 1134506496 | Lauren Marie Smith | Psychologist | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-05-06 |
| 1225427206 | Suzanne Kelley Austin | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2015-01-14 |
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|---|---|---|---|---|
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
| 1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
| 1235549361 | Brooke Hastings Cheatham | Family Medicine | 1305 Escalente Drive, Unit 205, Durango, CO 81303 | 2014-04-29 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
| 1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
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| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1437575792 | Summit Community Care Clinic, Inc. | Clinic/Center | 158 School Road, Frisco, CO 80443 | 2014-03-11 |
| 1588080956 | Summit Community Care Clinic, Inc. | Clinic/Center | 0108 Deerpath Road, Dillon, CO 80435 | 2014-03-10 |
| 1821414293 | Summit Community Care Clinic, Inc. | Clinic/Center | 101 Hamilton Creek Road, Silverthorne, CO 80498 | 2014-03-10 |
| 1093901332 | Colorado Wellness Connection, LLC | Clinic/Center | 4960 E Mineral Cir, Centennial, CO 80122-3833 | 2007-09-20 |
| 1750592655 | Open Bible Medical Clinic | Clinic/Center | 555 E Costilla St, Colorado Springs, CO 80903-3764 | 2007-05-24 |
| 1972650307 | Lifehealth LLC | Clinic/Center | 5554 South Prince St, Suite 131, Littleton, CO 80120 | 2007-01-05 |
| 1578625174 | Mountain Family Health Centers | Clinic/Center | 20 E. Lakeview Dr., Suite 205, Nederland, CO 80466-0009 | 2006-12-14 |
| 1073693677 | Northwest Colorado Visiting Nurse Association | Clinic/Center | 745 Russell Steet, Craig, CO 81625-2019 | 2006-10-17 |
| 1730126558 | Christian Healing Network | Clinic/Center | 2125 E La Salle St, Colorado Springs, CO 80909-2274 | 2006-06-01 |
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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.