NPIMap

Organization Active NPI

Southwest Colorado Mental Health Center, Inc

Doing business as Axis Health System

  • Community/Retail Pharmacy
  • Dove Creek, CO
National Provider Identifier
1679160907
Registry record updated Mar 29, 2023
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
495 W 4TH St
Dove Creek, CO 81324-4900
Phone
(970) 677-2291
Fax
(833) 245-0111
NPI assigned
Dec 21, 2020
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

495 W 4TH St
Dove Creek, CO 81324-4900

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (703) 352-2389

Other names 2

  • Axis Health System Doing business as
  • Dove Creek Integrated Healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwest Colorado Mental Health Center Inc Dba Axis Health System50 organizations share this tax ID, including this one
Part of
Southwest Colorado Mental Health Center Inc Dba Axis Health System

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1679160907",
    "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": "703-352-2389",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 4TH ST",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "813244900",
            "telephone_number": "970-677-2291",
            "fax_number": "833-245-0111"
        }
    ],
    "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": "2020-12-21",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "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": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "Dove Creek Integrated Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dove Creek Integrated Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dove Creek, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.