Organization
MOUNTAIN PARK HEALTH CENTER
Active
Parent organization
MOUNTAIN PARK HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN PARK HEALTH CENTER
Authorized official
JOHN R SWAGERT MD (CEO)
(602) 323-3242
Entity
Organization
Contact information
Practice address
1840 E BROADWAY RD, TEMPE, AZ 85282-1614
(602) 243-7277
(480) 927-1092
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3242
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
OTC 4015
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
03/12/2018
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