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 Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Mountain Park Health Center can be contacted via phone (602) 243-7277, or through Swagert, John R via phone (602) 323-3242.
Contact Information
Primary practice address
635 E. Baseline Rd.
Phoenix AZ 85042-6551
Phone: (602) 243-7277
Fax: (602) 243-1235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | OTC 0599 | Arizona |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | OTC0599 | Arizona |
Profile Details
| NPI number | 1558308825 |
|---|---|
| LBN Legal business name | Mountain Park Health Center |
| DBA Doing business as | |
| Authorized official | Swagert, John R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 13th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558308825 | NPPES |
| Arizona | MEDICAID | FQ31810 |
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