Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Southwest Memorial Provider Group
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 81321-2231
(970) 565-6666
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/08/2018
Last updated
05/27/2025
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