Cortez Primary Care

LBN: Southwest Health System, Inc.
Cortez Primary Care is an health care organization with primary practice located at 118 N Chestnut , Cortez CO 81321. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Critical Access. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Southwest Health System, Inc. can be contacted via phone (970) 564-9777, or through Sudduth, Anthony via phone (970) 564-2150.

Contact Information

Primary practice address
118 N Chestnut Cortez CO 81321
Phone: (970) 564-9777
Fax: (970) 564-8833
Website:
Map and Directions
Authorized official contact:
Name: Sudduth, Anthony
Phone: (970) 564-2150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 19961032821 Colorado
Hospitals / Critical Access 282NC0060X 11206 Colorado

Profile Details

NPI number 1104823939
LBN Legal business name Southwest Health System, Inc.
DBA Doing business as Cortez Primary Care
Authorized official Sudduth, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 8th, 2018 - about 8 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 1104823939 NPPES
Colorado MEDICAID 04020020
Colorado MEDICAID 05002050
Colorado MEDICAID 04143012
Colorado MEDICAID 06600183

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