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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
JOHN SWAGERT (CEO)
(602) 323-3470
Entity
Organization

Contact information

Practice address
303 E BASELINE RD, PHOENIX, AZ 85042-6530
(602) 243-7277
(602) 276-4427
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(302) 323-3496

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
AZ

Other

Enumeration date
03/15/2018
Last updated
03/15/2018
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