Southwest Memorial Medical Clinic

LBN: Southwest Health System, Inc.
Southwest Memorial Medical Clinic is an health care organization with primary practice located at 1413 N Mildred Rd , Cortez CO 81321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Southwest Health System, Inc. can be contacted via phone (970) 565-4436, or through Sudduth, Anthony via phone (970) 564-2150.

Contact Information

Primary practice address
1413 N Mildred Rd Cortez CO 81321
Phone: (970) 565-4436
Fax: (970) 565-2007
Website:
Map and Directions
Authorized official contact:
Name: Sudduth, Anthony
Phone: (970) 564-2150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1285614941
LBN Legal business name Southwest Health System, Inc.
DBA Doing business as Southwest Memorial Medical Clinic
Authorized official Sudduth, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 6th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285614941 NPPES
Colorado MEDICAID 04021333

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