Organization Active NPI

Southwest Colorado Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgway, CO
National Provider Identifier
1649914037
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC
Practice address
112 Village SQ W Ste 201
Ridgway, CO 81432-9238
Phone
(970) 252-3200
Fax
(970) 626-4255
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By 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 22, 2022

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

Authorized official

Name
Shelly Burke
Title
Ceo
Phone
(000) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

112 Village SQ W Ste 201
Ridgway, CO 81432-9238

Mailing address

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

Other names 1

  • Axis Health System Ridgway Other name

National Provider Directory

National Provider Directory
Tax ID family
Swcmhc50 organizations share this tax ID, including this one
Part of
Swcmhc

Other organizations with this tax ID 49

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

View all 49

Locations

112 Village Sq W
Ste 201
Ridgway, CO 81432
Phone (970) 497-5742

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1649914037",
    "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": "112 VILLAGE SQ W STE 201",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814329238",
            "telephone_number": "970-252-3200",
            "fax_number": "970-626-4255"
        }
    ],
    "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": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "000-000-0000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Health System Ridgway",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgway, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.