Organization · Type 2 NPI

Southwest Colorado Mental Health Center, Inc

Federally Qualified Health Center (FQHC) · Durango, CO

NPI number 1376907493 Active

Practice location

2530 Colorado Ave Unit 1A
Durango, CO 81301-4761

Call (970) 335-2442 Map

Fax (970) 335-2402

Mailing address

PO Box 1328
Durango, CO 81302-1328

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Lorielle M. JackDental Hygienist Durango, CO NPI 1235594169

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NPI record

NPI: 1376907493
Entity type: Organization (Type 2)
Issued: Apr 6, 2016
Last updated: May 27, 2021
Status: Active
Subpart: Yes of Southwest Colorado Mental Health Center, Inc

Other names

<unavail>
Axis Health System · doing business as
Axis Oral Health Clinic · other name

Authorized official

Shelly Burke
Chief Executive Officer
(000) 000-0000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376907493

Southwest Colorado Mental Health Center, Inc's National Provider Identifier is 1376907493, issued on Apr 6, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Durango, CO. The record was last updated on May 27, 2021.