Organization Active NPI

Child Wellness Center of the Southwest

Doing business as McMillan Pediatrics

  • Primary Care Clinic/Center
  • Durango, CO
National Provider Identifier
1295356996
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHILD WELLNESS CENTER OF THE SOUTHWEST
Doing business as
McMillan Pediatrics
Practice address
215 E 12TH St
Durango, CO 81301-5206
Phone
(970) 799-5811
Fax
(970) 797-6460
NPI assigned
May 4, 2020
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Heidi S. McMillan, MDNPI 1457371742
Title
Owner
Phone
(970) 799-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

215 E 12TH St
Durango, CO 81301-5206

Mailing address

10 Town PLZ # 237
Durango, CO 81301-5104
Phone (970) 799-5811

Other practice location 1

175 S Clover Dr
Bayfield, CO 81122-8768
Phone (970) 799-1212

Other names 1

  • McMillan Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

175 S Clover Dr
Bayfield, CO 81122
Phone (970) 799-1212

215 E 12th St
Durango, CO 81301
Phone (970) 372-0456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1295356996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TOWN PLZ # 237",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015104",
            "telephone_number": "970-799-5811",
            "fax_number": "970-797-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 12TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015206",
            "telephone_number": "970-799-5811",
            "fax_number": "970-797-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 S Clover Dr",
            "address_purpose": "LOCATION",
            "city": "Bayfield",
            "state": "CO",
            "postal_code": "811228768",
            "country_code": "US",
            "telephone_number": "970-799-1212",
            "fax_number": "970-459-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD WELLNESS CENTER OF THE SOUTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-799-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMillan Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2022; 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.