NPIMap

Organization Active NPI

Southwest Health System, Inc.

Doing business as Southwest Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Cortez, CO
National Provider Identifier
1164037990
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SOUTHWEST HEALTH SYSTEM, INC.
Doing business as
Southwest Memorial Hospital
Practice address
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone
(970) 565-6666
NPI assigned
Sep 9, 2020
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Theine
Title
Chief Executive Officer
Phone
(970) 564-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1311 N Mildred Rd
Cortez, CO 81321-2231

Mailing address

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other names 1

  • Southwest Memorial Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cindyfine@swhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000646 CO Part A Provider - Critical Access Hospital 5890699326 1 other NPI on this enrollment
Practice locations: Cortez, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164037990. Details of each certification follow.

Hospital certification: CCN 06Z327

Legal name
SOUTHWEST HEALTH SYSTEM INC
Doing business as
SOUTHWEST MEMORIAL HOSPITAL SWINGBED UNIT
Organization structure
OtherNon-profit
Incorporated
May 14, 1996 in CO
Enrollment address
1311 N Mildred Rd
Cortez, CO 81321-2231
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southwest Basin Clinic9 organizations share this tax ID, including this one
Part of
Southwest Basin Clinic

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: cindyfine@swhealth.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jay Wood Individual Corporate Director Jan 1, 2024
David L Dull Individual Corporate Director Jan 1, 2025
Joseph Theine Individual W-2 Managing Employee Jul 1, 2023 100%
Shirley Jones Individual Corporate Director Dec 5, 2018
Southwest Health System Inc Organization, Cortez, CO Non-profit 5% Or Greater Direct Ownership Interest May 1, 2009
Operational/Managerial Control May 1, 2009
Eric Croke Individual Corporate Director Jan 1, 2024
Mary Dodd Individual Corporate Director Jan 1, 2025
Marjorie Strangl Individual Corporate Director Jan 1, 2025
James S Rogers Individual Corporate Director Jan 1, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Memorial HospitalCortez, CO, CCN 061327 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2007
Dec 1, 2007
Southwest Walk-in CareCortez, CO, CCN 068520 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2011
Mancos Valley Health CenterMancos, CO, CCN 068521 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 22, 2012
Southwest School-Based Health CenterCortez, CO, CCN 063406 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 28, 2015

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1164037990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST HEALTH SYSTEM, INC.",
        "enumeration_date": "2020-09-09",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "THEINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "970-564-2146"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindyfine@swhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - Hospitalist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southwest Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.