| Southwest Network | |
|
2311 W Royal Palm Rd Phoenix AZ 85021-4916 | |
| (602) 269-5300 | |
| (602) 269-5380 |
| Full Name | Southwest Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2311 W Royal Palm Rd, Phoenix, 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 2311 W Royal Palm Rd Phoenix AZ 85021-4916 Ph: (602) 269-5300 |
| NPI Number | 1306097886 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306097886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 251B00000X | Case Management | OTC6787 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC6787 (Arizona) | Primary |
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