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Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Cortez Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SUDDUTH (CEO)
(970) 564-2150
Entity
Organization
Contact information
Practice address
118 N CHESTNUT, CORTEZ, CO 81321
(970) 564-9777
(970) 564-8833
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2152
(970) 564-2155
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19961032821
CO
282NC0060X
Critical Access Hospital
11206
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020020
—
CO
05
—
04143012
—
CO
05
—
05002050
—
CO
05
—
06600183
—
CO
Enumeration date
07/07/2005
Last updated
06/08/2018
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