Southwest Health System, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Cortez, CO
NPI 1235655838 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1235655838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- SOUTHWEST HEALTH SYSTEM, INC.
- Practice address
- 1311A N Mildred Rd
Ste. a
Cortez, CO 81321 - Phone
- (970) 564-2681
- Fax
- (970) 564-2682
- NPI assigned
- Aug 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Joseph Theine
- Title
- Chief Executive Officer
- Phone
- (970) 564-2146
Other NPIs on the same Medicare enrollment 11
Member of 1
Practitioners 3
-
Kimberly Ann Washburn, N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000607 | CO | Part B Supplier - Clinic/Group Practice | 5890699326 |
Receives reassigned benefits from 107 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cortez, CO; Mancos, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1311A N Mildred Rd
Ste. a
Cortez, CO 81321
Mailing address
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 564-2152
Other names
- Southwest Memorial Specialty Care
Other providers in Cortez, CO
- Southwest Health System Inc
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
- Southwest Health System, Inc.
All providers in Cortez, CO · Multi-Specialty Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.