NPIMap

Organization Active NPI

Southwest Health System, Inc.

Doing business as Southwest Memorial Ambulance

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
National Provider Identifier
1992328074
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SOUTHWEST HEALTH SYSTEM, INC.
Doing business as
Southwest Memorial Ambulance
Practice address
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone
(970) 565-6666
NPI assigned
May 22, 2020
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 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
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1311 N Mildred Rd
Cortez, CO 81321-2231

Mailing address

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other names 1

  • Southwest Memorial Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000693 CO Part A Provider - Critical Access Hospital 5890699326 Receives reassigned benefits from 85 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cortez, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992328074. Details of each certification follow.

Hospital certification: CCN 061327

Legal name
SOUTHWEST HEALTH SYSTEM INC
Doing business as
SOUTHWEST MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 22, 2008
Last certification
Nov 8, 2023
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
May 14, 1996 in CO
Enrollment address
1311 N Mildred Rd
Southwest Memorial Hospital
Cortez, CO 81321-2231
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Southwest Memorial HospitalCCN 061327 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

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

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Hodgdon Individual Corporate Director May 22, 2019
Daniel Valverde Individual Corporate Director Jun 1, 2018
Joseph Theine Individual W-2 Managing EmployeeCeo Jul 1, 2023 100%
Shirley Jones Individual Corporate Director Dec 5, 2018
Southwest Health System Inc Organization, Cortez, CO 5% Or Greater Direct Ownership Interest Dec 1, 2007
Operational/Managerial Control Dec 1, 2007
Sean Killoy Individual Corporate Director Sep 22, 2021

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Affiliated clinicians 226

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 226

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1992328074",
    "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": "970-565-6666"
        },
        {
            "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": "813212231",
            "telephone_number": "970-565-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "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": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Memorial Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Memorial Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.