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CHC26510-04 Southwest Colorado Mental Health Center, Inc. (Active)
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Main Details
Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Pagosa Springs Integrated Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031823
340B ID
CHC26510-04
Grant Number
H80CS26510
Additional Details
Current Program Status
Active
Registration Date
1/11/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/14/2021
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
52 Village Dr
Pagosa Springs, CO 81147
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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