NPIMap

Organization Active NPI

Southwest Colorado Mental Health Center, Inc

Doing business as Axis Health System

  • Federally Qualified Health Center (FQHC)
  • Durango, CO
National Provider Identifier
1316374283
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Doing business as
Axis Health System
Practice address
1970 E 3Rd Ave
Unit 1 Lower Level
Durango, CO 81301-5056
Phone
(970) 335-2288
Fax
(970) 335-2280
NPI assigned
Oct 8, 2013
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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
(000) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CO Primary

Addresses

Primary practice location

1970 E 3Rd Ave
Unit 1 Lower Level
Durango, CO 81301-5056

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2238

Other names 2

  • Axis Health System Doing business as
  • La Plata Integrated Healthcare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326001177 CO Part B Supplier - Clinic/Group Practice 9133011802 Receives reassigned benefits from 95 practitioners
46 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gunnison, CO; Montrose, CO; Norwood, CO; Pagosa Springs, CO; Telluride, CO; Crested Butte, CO; Durango, CO; Dove Creek, CO…

Other NPIs on the same Medicare enrollment 41

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 41

National Provider Directory

National Provider Directory
Part of
Swcmhc

Locations

1970 E 3rd Ave
Durango, CO 81301
Phone (970) 335-2288

Practitioners & affiliated clinicians

Practitioners 2

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": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1316374283",
    "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": "970-335-2238",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 3RD AVE",
            "address_2": "UNIT 1 LOWER LEVEL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015056",
            "telephone_number": "970-335-2288",
            "fax_number": "970-335-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.",
        "enumeration_date": "2013-10-08",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "000-000-0000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Plata 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 Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.