Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Southwest Medical Group - Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THEINE (CHIEF EXECUTIVE OFFICER)
(970) 564-2146
Entity
Organization
Contact information
Practice address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-8556
(970) 564-1134
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2258
(970) 564-2155
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0179
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00280585
—
CO
05
—
1578689527
—
UT
05
—
400943
—
AZ
Enumeration date
03/21/2007
Last updated
05/28/2025
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