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 /CEO)
(602) 323-3344
Entity
Organization
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3407
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
OTC 3035
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102577
—
AZ
Enumeration date
09/20/2006
Last updated
08/27/2024
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