SOUTHWEST NETWORK
NPI 1104856004
Community/Behavioral Health in Phoenix, AZ
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Southwest Network, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 42Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZFrequently 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.
Is Southwest Network enrolled in Medicare?
Yes. Southwest Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwest Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Psychiatry (13) and Clinical Social Worker (4). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Cigna HealthCare of Arizona, Inc 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 9 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.
# Southwest Network · NPI 1104856004
Community/Behavioral Health organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1104856004 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Amy Henning, CEO
## Practice location
- **Address:** 120 N 44TH ST STE 400, Phoenix, AZ 85034-1822
- **Phone:** (602) 304-0014 · **Fax:** (602) 304-0190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Psychiatry (13), Clinical Social Worker (4); 9 practice within 10 miles; [full list](https://npiprofile.com/npi/1104856004/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2026
- **Other identifiers:** Medicaid 545246 (AZ); Other Z127516 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104856004) · Data from the CMS NPPES public registry.