CROSSROADS AT GRANDVIEW
Complete NPI Record 1932192598
Clinic/Center - Mental Health (Including Community Mental Health Center) in Durango, CO
Active since August 29, 2005
Complete NPI Dataset
This page contains the complete raw NPPES record for Crossroads At Grandview (NPI 1932192598), a clinic/center organization in Durango, CO. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1932192598 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: CROSSROADS AT GRANDVIEW Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 5 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 1328 Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DURANGO Field 8/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CO Field 9/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 813021328 Field 10/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9703352238 Field 12/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9703352438 Field 13/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 150 MERCURY VILLAGE DR Field 14/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DURANGO Field 15/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CO Field 16/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 813018955 Field 17/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9703352342 Field 19/31
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: BURKE Field 22/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: SHELLY Field 23/31
- The first name of the authorized official.
- Authorized Official Title or Position: CHIEF EXECUTIVE OFFICER Field 24/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 0000000000 Field 25/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM0801X Field 26/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 28/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC. Field 29/31
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 30/31
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Other Organization Names 15
Additional business and trade names this provider has on file with the NPPES registry.
Axis Health System Crested Butte Other Name
Name 1/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Delta Other Name
Name 2/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Gunnison Other Name
Name 3/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Hotchkiss Other Name
Name 4/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Montrose Other Name
Name 5/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Naturita Other Name
Name 6/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Norwood Other Name
Name 7/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Ridgway Other Name
Name 8/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Axis Health System Telluride Other Name
Name 9/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Durango Integrated Healthcare Other Name
Name 10/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
archuleta integrated healthcare Other Name
Name 11/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
columbine behavioral healthcare Other Name
Name 12/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
cortez integrated healthcare Other Name
Name 13/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
dove creek integrated healthcare Other Name
Name 14/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
la plata itegrated healthcare Other Name
Name 15/15Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Secondary Practice Locations 15
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
281 Sawyer Dr Ste 100
Location 1/15Durango, CO 81303-3409 · Phone (970) 259-2162 · Fax (970) 247-5255
1970 E 3rd Ave Ste 1
Location 2/15Durango, CO 81301-5049 · Phone (970) 335-2288 · Fax (970) 335-2280
1125 Three Springs Blvd
Location 3/15Durango, CO 81301-9033 · Phone (970) 403-0180 · Fax (970) 403-0190
107 W 11th St
Location 4/15Delta, CO 81416-1811 · Phone (970) 252-3200
318 Elk Avenue Unit 25
Location 5/15Crested Butte, CO 81224 · Phone (970) 252-3200
691 E Empire St
Location 6/15Cortez, CO 81321-2802 · Phone (970) 565-7946 · Fax (970) 565-9005
495 W 4th St
Location 7/15Dove Creek, CO 81324-4900 · Phone (970) 677-2291 · Fax (833) 245-0111
238 E. Colorado Ave, Suite 9
Location 8/15Telluride, CO 81435 · Phone (970) 252-3200
112 Village Sq W Ste 201
Location 9/15Ridgway, CO 81432-9238 · Phone (970) 252-3200
52 Village Dr
Location 10/15Pagosa Springs, CO 81147-8368 · Phone (970) 264-2104 · Fax (970) 264-2108
1605 Grand Ave Ste # 3
Location 11/15Norwood, CO 81423 · Phone (970) 252-3200 · Fax (970) 874-4169
212 E Main St
Location 12/15Naturita, CO 81422-5085 · Phone (970) 252-3200
605 Miami Rd
Location 13/15Montrose, CO 81401-4108 · Phone (970) 252-3200
110 Hotchkiss Ave
Location 14/15Hotchkiss, CO 81419-9579 · Phone (970) 252-3200
710 N Taylor St
Location 15/15Gunnison, CO 81230-2244 · Phone (970) 252-3200
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