NPI Code Detail JSON Logo

1689482549 NPI number — SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM

NPI Number: 1689482549
Health Care Provider/Practitioner: SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM

Information about “1689482549” NPI (SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM) exists in 1689482549 in HTML format HTML  |  1689482549 in plain Text format TXT  |  1689482549 in PDF (Portable Document Format) PDF  |  1689482549 in an XML format XML  formats.

NPI Number : 1689482549 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689482549",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM",
    "ParentOrgTIN": null,
    "OrgName": "SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1328",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DURANGO",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81302-1328",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-335-2342",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1605 GRAND AVE UNIT 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWOOD",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81423-5245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-252-3200",
    "PracticeLocationAddressFaxNumber": "970-874-4169",
    "EnumerationDate": "12/24/2024",
    "LastUpdateDate": "12/24/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOCK",
    "AuthorizedOfficialFirstName": "ALYSSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REIMBURSEMENT SUPERVISOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "970-335-2238",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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