Organization
MOUNTAIN PARK HEALTH CENTER - DENTAL
Active
Parent organization
MOUNTAIN PARK HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN PARK HEALTH CENTER
Authorized official
JOHN SWAGERT (PRESIDENT & CEO)
(602) 323-3470
Entity
Organization
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 323-3299
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3400
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC0599
AZ
Other
Enumeration date
06/02/2008
Last updated
03/13/2018
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