NPIMap

Organization Active NPI

Southwest Memorial Home Health

  • Home Health Agency
  • Cortez, CO
National Provider Identifier
1194897181
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHWEST MEMORIAL HOME HEALTH
Practice address
20 S Market St
Cortez, CO 81321-3502
Phone
(970) 564-2480
Fax
(970) 564-2485
NPI assigned
Nov 14, 2006
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Mrs. Margaret A Blackmer, R.N.
Title
Agency Administrator
Phone
(970) 564-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO Primary

Addresses

Primary practice location

20 S Market St
Cortez, CO 81321-3502

Mailing address

20 S Market St
Cortez, CO 81321-3502
Phone (970) 564-2480

Other identifiers 1

IdentifierTypeStateIssuer
05702121MedicaidCO

National Provider Directory

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

Other organizations with this tax ID 8

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

Locations

20 S Market St
Cortez, CO 81321
Phone (970) 565-4291

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1194897181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MARKET ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213502",
            "telephone_number": "970-564-2480",
            "fax_number": "970-564-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MARKET ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213502",
            "telephone_number": "970-564-2480",
            "fax_number": "970-564-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEMORIAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "BLACKMER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "970-564-2480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05702121",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.