NPIMap

Organization Active NPI

Southwest Health System, Inc.

Doing business as Southwest Health System Pharmacy

  • Pharmacy
  • Cortez, CO
National Provider Identifier
1386917862
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
260000020 Issued in CO
Legal business name
SOUTHWEST HEALTH SYSTEM, INC.
Doing business as
Southwest Health System Pharmacy
Practice address
1311 N Mildred Rd
Cortez, CO 81321
Phone
(970) 564-2190
Fax
(970) 564-2197
NPI assigned
Feb 15, 2012
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Joseph Theine
Title
Chief Executive Officer
Phone
(970) 564-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 260000020 CO Primary

Addresses

Primary practice location

1311 N Mildred Rd
Cortez, CO 81321

Mailing address

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 564-2190

Other identifiers 1

IdentifierTypeStateIssuer
260000020OtherCOSTATE BOARD OF PHARMACY LICENSE

Other names 1

  • Southwest Health System Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180703003228 CO Part B Supplier - Pharmacy 5890699326 Practice locations: Cortez, CO
O20180905000147 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5890699326 Practice locations: Cortez, CO
O20220511000109 CO DME Supplier - Pharmacy 5890699326 Practice locations: Cortez, CO

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southwest Health System Pharmacy1311 N Mildred Rd, Cortez, CO 81321-223197056466662152 Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since May 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
Southwest Basin Clinic9 organizations share this tax ID, including this one
Part of
Southwest Basin Clinic

Other organizations with this tax ID 8

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

Locations

111 N Park St
#Four
Cortez, CO 81321
Phone (970) 565-6670

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1413 N Mildred Rd
Cortez, CO 81321
Phone (970) 564-1037

20 S Market St
#1
Cortez, CO 81321
Phone (970) 565-4291

20 S Market St
#2
Cortez, CO 81321
Phone (970) 565-2600

208 W North St
Cortez, CO 81321
Phone (970) 565-2600

418 S Sligo St
Cortez, CO 81321
Phone (970) 564-2104

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Memorial HospitalCortez, CO, CCN 061327 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2007
Dec 1, 2007
Southwest Memorial Hospital Swingbed UnitCortez, CO, CCN 06Z327 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2009
May 1, 2009
Southwest Walk-in CareCortez, CO, CCN 068520 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2011
Mancos Valley Health CenterMancos, CO, CCN 068521 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 22, 2012
Southwest School-Based Health CenterCortez, CO, CCN 063406 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 28, 2015

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1386917862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-564-2190",
            "fax_number": "970-564-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-564-2190",
            "fax_number": "970-564-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST HEALTH SYSTEM, INC.",
        "enumeration_date": "2012-02-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "THEINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "970-564-2146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "260000020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "260000020",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Health System Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.