NPIMap

Organization Active NPI

Southwest Colorado Mental Health Center, Inc

Doing business as Axis Health System

  • Community/Retail Pharmacy
  • Durango, CO
National Provider Identifier
1275309510
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Doing business as
Axis Health System
Practice address
150 Mercury Village Dr
Durango, CO 81301-8955
Phone
(970) 335-2308
Fax
(970) 788-7663
NPI assigned
Nov 28, 2023
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Shelly Burke
Title
Chief Executive Officer
Phone
(970) 335-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

150 Mercury Village Dr
Durango, CO 81301-8955

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2342

Other names 2

  • Axis Health System Doing business as
  • Durango Integrated Healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Pinon Mesa Guidance Cen50 organizations share this tax ID, including this one
Part of
Pinon Mesa Guidance Cen

Other organizations with this tax ID 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1275309510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "970-335-2308",
            "fax_number": "970-788-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "970-335-2342"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axis Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durango Integrated Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 18, 2024; 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.