Organization
BRIDGEWAY HEALTH SOLUTIONS OF ARIZONA, INC.
Active
Parent organization
CENTENE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENE CORPORATION
Authorized official
KENNETH KOSHOREK (STAFF VICE PRESIDENT)
(313) 720-5567
Entity
Organization
Contact information
Practice address
1850 W RIO SALADO PKWY, TEMPE, AZ 85281-2165
(520) 546-3400
Mailing address
1850 W RIO SALADO PKWY, TEMPE, AZ 85281-2165
(520) 546-3400
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
BH3835
AZ
Other
Enumeration date
03/22/2011
Last updated
04/22/2024
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