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 (CEO)
(602) 323-3242
Entity
Organization
Contact information
Practice address
4222 N 51ST AVE, PHOENIX, AZ 85031-1908
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3345
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC 0599
AZ
Other
Enumeration date
07/02/2015
Last updated
11/01/2021
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