Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Southwest Medical Group Park Street
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SHRADER (CFO)
(941) 483-7225
Entity
Organization
Contact information
Practice address
111 N PARK ST, CORTEZ, CO 81321-3340
(970) 564-8730
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2152
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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