Organization
MOUNTAIN PARK HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SWAGERT MD (CHIEF EXECUTIVE OFFICER)
(602) 323-3470
Entity
Organization
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6589
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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