| Southwest Network | |
|
1465 W Chandler Blvd Bldg A Chandler AZ 85224-6237 | |
| (480) 786-8200 | |
| (480) 857-3005 |
| Full Name | Southwest Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1465 W Chandler Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Amy B. Henning (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6022854340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Network 2700 N Central Ave Suite 1050 Phoenix AZ 85004-1133 Ph: (602) 266-8402 | Southwest Network 1465 W Chandler Blvd Bldg A Chandler AZ 85224-6237 Ph: (480) 786-8200 |
| NPI Number | 1487981338 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487981338 | NPI | - | NPPES |
| 515676 | Medicaid | AZ | |
| Z127516 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 251B00000X | Case Management | OTC6322 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC6322 (Arizona) | Primary |
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