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 M.D. (CEO)
(602) 323-3242
Entity
Organization
Contact information
Practice address
635 E. BASELINE RD., PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
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 0599
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC0599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQ31810
—
AZ
Enumeration date
06/02/2006
Last updated
03/13/2018
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