Organization Active NPI

Southwest Center for Independence

  • Rehabilitation Clinic/Center
  • Durango, CO
National Provider Identifier
1265888176
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SOUTHWEST CENTER FOR INDEPENDENCE
Practice address
3473 Main Ave
Suite 23
Durango, CO 81301-4010
Phone
(970) 259-1672
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Martha Mason
Title
Executive Director
Phone
(970) 259-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3473 Main Ave
Suite 23
Durango, CO 81301-4010

Mailing address

3473 Main Ave
Suite 23
Durango, CO 81301-4010
Phone (970) 259-1672

National Provider Directory

National Provider Directory
Tax ID family
Southwest Center for Independence4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3473 Main Ave
Ste 23
Durango, CO 81301
Phone (970) 259-1672

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1265888176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 MAIN AVE",
            "address_2": "SUITE 23",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014010",
            "telephone_number": "970-259-1672",
            "fax_number": "970-259-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 MAIN AVE",
            "address_2": "SUITE 23",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014010",
            "telephone_number": "970-259-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CENTER FOR INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-259-1672"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.