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Contact Information

MOUNTAIN PARK HEALTH CENTER
140 N LITCHFIELD RD STE 200&106
GOODYEAR, AZ85338-1226
 Phone: 623-936-6795
 Fax: 623-478-8150
 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 Number 1922105204
LBN Legal business name MOUNTAIN PARK HEALTH CENTER
Authorized official JOHN SWAGERT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/20/2006
Last updated 08/27/2024 - 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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