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
DR. JOHN R SWAGERT MD (PRESIDENT AND CEO)
(602) 323-3344
Entity
Organization
Contact information
Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6936
(602) 243-7277
(602) 286-0808
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC 3514
AZ
Other
Enumeration date
09/20/2006
Last updated
03/12/2018
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