Mountain Park Health Center

LBN: Mountain Park Health Center
Mountain Park Health Center is an health care organization with primary practice located at 635 E Baseline Rd , Phoenix AZ 85042-6551. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Mountain Park Health Center can be contacted via phone (602) 323-3435, or through Soto, Mary via phone (602) 586-3026.

Contact Information

Primary practice address
635 E Baseline Rd Phoenix AZ 85042-6551
Phone: (602) 323-3435
Fax: (602) 305-8590
Website:
Map and Directions
Authorized official contact:
Name: Soto, Mary PHARMD
Phone: (602) 586-3026

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 3254 Arizona

Profile Details

NPI number 1467630012
LBN Legal business name Mountain Park Health Center
DBA Doing business as
Authorized official Soto, Mary PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2008
Last updated Nov 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467630012 NPPES
Arizona Other 3254 BOARD OF PHARMACY
Arizona MEDICAID 530073 BOARD OF PHARMACY

Popular Providers