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Contact Information

MOUNTAIN PARK HEALTH CENTER
17624 N 31ST AVE
PHOENIX, AZ85053-1935
 Phone: 602-243-7277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for MOUNTAIN PARK HEALTH CENTER

NPI # 1386027852
LBN Legal business name MOUNTAIN PARK HEALTH CENTER
Authorized official JOHN SWAGERT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/02/2015
Last updated 03/13/2018 - About 8 years ago
Identifiers
AZ License # OTC 0599
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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