SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.


Address: 600 W Gurley St Fl 2, Prescott, AZ 86305-3655
Phone: 9287171800

SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1205163938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205163938
Entity Type Organization
Organization Name SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Practice Address 600 W Gurley St Fl 2
Prescott
AZ 86305-3655
Mailing Address 3450 N 3rd St
Phoenix
AZ 85012-2331
Practice Telephone 9287171800
Practice Fax Number 9287171818
Enumeration Date 2009-11-18
Last Update Date 2009-11-18
Authorized Official Name JEFF JORDE (PRESIDENT/CEO)
Authorized Official Telephone 6022579339
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
BH-3407 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA DEPT OF HEALTH SERVICES, OBHL BH-3467 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922517655 Southwest Behavioral Health Services, Inc. Specialist 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 2017-09-26
1023556339 Southwest Behavioral Health Services, Inc. Psychiatric Residential Treatment Facility 1301 W Beale St, Kingman, AZ 86401-5434 2017-02-07
1407139413 Southwest Behavioral Health Services, Inc. Clinic/Center 1845 Mcculloch Blvd N Ste B1, Lake Havasu City, AZ 86403-6774 2011-09-26
1578844726 Southwest Behavioral Health Services, Inc. Clinic/Center 7763 E Florentine Rd, Prescott Valley, AZ 86314-2289 2011-09-01
1386932523 Southwest Behavioral Health Services, Inc. Clinic/Center 809 Hancock Rd, Suite 1, Bullhead City, AZ 86442-5045 2011-07-20
1477841534 Southwest Behavioral Health Services, Inc. Clinic/Center 7600 E Florentine Rd Ste 101, Ste 101, Prescott Valley, AZ 86314-1295 2011-07-11
1770888646 Southwest Behavioral Health Services, Inc. Clinic/Center 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 2011-01-24
1558682914 Southwest Behavioral Health Services, Inc. Clinic/Center 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 2010-06-18
1023339926 Southwest Behavioral Health Services, Inc. Clinic/Center 8135 N 35th Ave Apt 1032, Phoenix, AZ 85051-5872 2010-06-15
1700106135 Southwest Behavioral Health Services, Inc. Clinic/Center 1708 E Harvard St Ofc 1, Phoenix, AZ 85006-1857 2010-06-08

Office Location

Street Address 600 W GURLEY ST FL 2
City PRESCOTT
State AZ
Zip Code 86305-3655

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1366607897 Texarkana Behavioral Associates Clinic/Center 1484 West 1st Street, North, Prescott, AR 71857 2008-07-24
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1104185966 Tba Texarkana LLC Clinic/Center 1484 W 1st St N, Prescott, AR 71857-3339 2012-05-14

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1164036935 Carmen L. Lucia Psyd LLC Clinic/Center 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 2020-08-31
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Competitor

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City PRESCOTT
Zip Code 86305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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