Organization
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Active
Parent organization
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
Other names
Archuleta Integrated Healthcare, Axis Health System
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
Authorized official
SHELLY BURKE (CHIEF EXECUTIVE OFFICER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8368
(970) 264-2104
(970) 264-2108
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2238
(970) 335-2438
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
05/27/2021
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