Organization
MOUNTAIN PARK HEALTH CENTER
Active
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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