SOUTHWEST NETWORK
NPI 1104856004
Community/Behavioral Health in Phoenix, AZ

Q: What is Southwest Network's NPI number?

The NPI number for Southwest Network is 1104856004. It was assigned to this organization in the NPPES registry on July 4, 2006.

Q: What is Southwest Network's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Southwest Network was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 04, 2006CLIA 03D1075693 · Waiver

120 N 44TH ST STE 400, PHOENIX, AZ 85034(602) 304-0014(602) 304-0190 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Dec 11, 2025, Dec 4, 2025 and 2 more (5 updates tracked since 2016).

On this page

About Southwest Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST NETWORK (NPI 1104856004) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2027, maintains a secondary practice location in Phoenix, and lists Amy B. Henning, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104856004

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHWEST NETWORK

Location Address120 N 44TH ST STE 400Phoenix, AZ 85034-1822

Mailing Address2700 N Central Ave, Suite 1050Phoenix, AZ 85004-1133 · (602) 266-8402 · Fax (602) 264-0887

Phone(602) 304-0014

Fax(602) 304-0190

Organization SubpartNo

Authorized OfficialAmy B. HenningCeo · (602) 285-4340

Enumeration DateJuly 4, 2006

Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1104856004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AZ · OTC6258

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X · License OTC6258 (AZ)

120 N 44TH ST STE 400, Phoenix, AZ 85034

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Secondary Practice Location 1

Location 12444 E University Dr Ste 150Phoenix, AZ 85034-6934 · Phone (602) 304-0014 · Fax (602) 304-0190

Other Identifiers 2

Medicaid545246AZ

OtherZ127516AZ · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1075693

Southwest Network, Inc · Phoenix, AZ

Active · expires Oct 24, 2027

CLIA Number03D1075693

Laboratory TypeOther

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorDr. Kate Kelley

Laboratory Phone(602) 266-8402

Laboratory LocationSouthwest Network, Inc2700 N Central Ave #1050, Phoenix, AZ 85004

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Network's NPI number?

The NPI number for Southwest Network is 1104856004. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Southwest Network located?

Southwest Network is located at 120 N 44th St Ste 400, Phoenix, AZ 85034. The listed phone number is (602) 304-0014.

What is Southwest Network's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Southwest Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1075693) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Network accept?

Health plans from Blue Cross Blue Shield of Arizona list Southwest Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southwest Network was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.