Organization
SOUTHWEST NETWORK, INC.
Active
Organization
SOUTHWEST NETWORK, INC.
Active
Other names
Southwest Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY B. HENNING (CHIEF EXECUTIVE OFFICER)
(602) 285-4340
Entity
Organization
Contact information
Practice address
2311 W ROYAL PALM RD, PHOENIX, AZ 85021-4916
(602) 269-5300
(602) 269-5380
Mailing address
2700 N CENTRAL AVE, SUITE 1050, PHOENIX, AZ 85004-1133
(602) 266-8402
(602) 264-0887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
OTC6787
AZ
251S00000X
Community/Behavioral Health Agency
Primary
OTC6787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378698
—
AZ
01
—
Z127516
MEDICARE PTAN
AZ
Enumeration date
10/02/2008
Last updated
02/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up