| Organization Name: | SOUTHWEST HEALTH SYSTEM, INC. |
| NPI Number: | 1003155185 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH SELLERS (CCO) |
| Mailing Address: | 1280 N Mildred Rd Suite 1 Cortez |
| State: | CO US |
| Postal Code: | 81321 |
| Phone Number: | 9705658336 |
| Fax Number: | 9705653134 |
| NPI Enumeration Date: | 02/08/2013 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |