| Southwest Behavioral Health Services, Inc | |
|
1515 E Cedar Ave B-2, B-3, B4, E1. E-2 Flagstaff AZ 86004-1600 | |
| (928) 779-4550 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 E Cedar Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Steven Sheets (PRESIDENT/CEO) |
| Authorized Official Contact | 0263516986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Health Services, Inc 3450 N 3rd St Phoenix AZ 85012-2331 Ph: () - | Southwest Behavioral Health Services, Inc 1515 E Cedar Ave B-2, B-3, B4, E1. E-2 Flagstaff AZ 86004-1600 Ph: (928) 779-4550 |
| NPI Number | 1316170368 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 9739075854 |
|---|---|
| Medicare Enrollment ID | O20200224000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316170368 | NPI | - | NPPES |
| BH-3407 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL |
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