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Organization
SOUTHWEST HEALTH SYSTEM INC
Active
Organization
SOUTHWEST HEALTH SYSTEM INC
Active
Other names
Southwest Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THEINE (CHIEF EXECUTIVE OFFICER)
(970) 564-2146
Entity
Organization
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321
(970) 565-6666
(970) 564-2149
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666
(970) 564-2149
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
11206
CO
333300000X
Emergency Response System Companies
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020020
—
CO
05
—
05002050
—
CO
Enumeration date
01/30/2006
Last updated
05/28/2025
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