NPIMap

Organization Active NPI

Bridgeway Health Solutions of Arizona, Inc.

  • Health Maintenance Organization
  • Tempe, AZ
National Provider Identifier
1679872220
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
BH3835 Issued in AZ
Legal business name
BRIDGEWAY HEALTH SOLUTIONS OF ARIZONA, INC.
Practice address
1850 W Rio Salado Pkwy
Tempe, AZ 85281-2165
Phone
(520) 546-3400
NPI assigned
Mar 22, 2011
Organization subpart
Yes
Parent organization
CENTENE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X BH3835 AZ Primary

Addresses

Primary practice location

1850 W Rio Salado Pkwy
Tempe, AZ 85281-2165

Mailing address

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

National Provider Directory

National Provider Directory

Locations

2250 N Craycroft Rd
Ste 250
Tucson, AZ 85712
Phone (520) 546-3400

7711 Carondelet Ave
Saint Louis, MO 63105
Phone (314) 727-2273

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1679872220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W RIO SALADO PKWY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812165",
            "telephone_number": "520-546-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W RIO SALADO PKWY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812165",
            "telephone_number": "520-546-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HEALTH SOLUTIONS OF ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENE CORPORATION",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "STAFF VICE PRESIDENT",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "BH3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.