Southwest Network
NPI 1104856004 · Community/Behavioral Health Agency · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Network is a Community/Behavioral Health Agency organization in Phoenix, AZ (NPI 1104856004).
Provider details
- NPI number
- 1104856004
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amy Henning, Ceo(602) 285-4340
- License
- OTC6258 (AZ)
Specialties & taxonomies
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2444 E University Dr Ste 150Phoenix, AZ 85034-6934Phone: (602) 304-0014Fax: (602) 304-0190
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Southwest Network's NPI number?
- Southwest Network's National Provider Identifier (NPI) is 1104856004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Network?
- Southwest Network is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Southwest Network located?
- Southwest Network's practice location on file with NPPES is 120 N 44th St Ste 400, Phoenix, AZ 85034-1822.
- What is Southwest Network's phone number?
- The practice phone number listed in the NPPES registry for Southwest Network is (602) 304-0014.
- Does Southwest Network accept Medicare?
- Southwest Network is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southwest Network?
- The authorized official listed on Southwest Network's NPPES record is Amy Henning, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Network's NPI active?
- Yes — Southwest Network's NPI (1104856004) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.