MOUNTAIN PARK HEALTH CENTER; NPI #1386452415

Contact Information

MOUNTAIN PARK HEALTH CENTER

325 E BASELINE RD
PHOENIX, AZ 85042-6589

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

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NPI Profile & details for MOUNTAIN PARK HEALTH CENTER

NPI Number	`1386452415`
LBN Legal business name	MOUNTAIN PARK HEALTH CENTER
Authorized official	JOHN SWAGERT - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/20/2024
Last updated	12/20/2024 - More than a year ago
Identifiers	n/a

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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