NPI 1679872220

Bridgeway Health Solutions of Arizona, INC.

Organisation Health Maintenance Organization Tempe, AZ

Practice location

Address: 1850 W Rio Salado Pkwy, Tempe, AZ 85281-2165
Phone: (520) 546-3400

Authorised official

Name: Kenneth Koshorek
Title: Staff Vice President
Phone: (313) 720-5567

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence BH3835 (AZ)

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Registry record

NPI: 1679872220
Entity type: Organization
NPI issued: 22 Mar 2011
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.