Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Southwest Memorial Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SUDDUTH (CEO)
(970) 564-2150
Entity
Organization
Contact information
Practice address
1413 N MILDRED RD, CORTEZ, CO 81321
(970) 565-4436
(970) 565-2007
Mailing address
1311 N MILDRED ROAD, CORTEZ, CO 81321-2231
(970) 564-2152
(970) 564-2155
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021333
—
CO
Enumeration date
01/19/2006
Last updated
06/06/2018
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