Organization
SOUTHWEST HEALTH SYSTEM INC
Active
Other names
Southwest Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THEINE (CHIEF EXECUTIVE OFFICER)
(970) 564-2146
Entity
Organization
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321
(970) 565-6666
(970) 564-2149
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666
(970) 564-2149
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
11206
CO
333300000X
Emergency Response System Companies
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020020
—
CO
05
—
05002050
—
CO
Enumeration date
01/30/2006
Last updated
05/28/2025
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