Healthcare Provider Details

I. General information

NPI: 1225305790
Provider Name (Legal Business Name): AXIS HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 SAWYER DR STE. 100
DURANGO CO
81303-3409
US

IV. Provider business mailing address

281 SAWYER DR STE. 100
DURANGO CO
81303-3409
US

V. Phone/Fax

Practice location:
  • Phone: 970-335-2209
  • Fax: 970-247-5255
Mailing address:
  • Phone: 970-335-2209
  • Fax: 970-247-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITNEY NICOLE MEIERS
Title or Position: DISCHARGE PLANNER/ CASE MANAGER
Credential:
Phone: 970-335-2209