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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