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CHC26510-00 Southwest Colorado Mental Health Center, Inc. (Active)
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Main Details
Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Cortez Integrated Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014920
340B ID
CHC26510-00
Grant Number
H80CS26510
Additional Details
Current Program Status
Active
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/10/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Axis Health System
Alex Conrad, Chief Administrative Officer
(970) 335-2233
Primary Contact
Southwest Colorado Mental Health Center Inc dba Axis Health System
Joshua Shumway, Director of Pharmacy
(970) 903-9423
Addresses
Street Address
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Billing Address
Axis Health System
150 Mercury Village Dr
Axis Health System
Durango, CO 81301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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