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Mountain Park Health Center

Clinic/Center, Federally Qualified Health Center (FQHC) in Glendale, AZ. Organization (NPI-2).

NPI number1316637481
StatusActive
Last updated in NPPESMay 11, 2023

Details

NPI
1316637481
Entity type
Organization (NPI-2)
Legal business name
Mountain Park Health Center
Organization subpart
Yes
Enumeration date
May 11, 2023
Certification date
May 1, 2023
Last updated
May 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Practice location

6975 W Glendale Ave
Glendale, AZ 85303

Phone 602-243-7277

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908

Phone 602-323-3344

Authorized official

John Swagert
Ceo
6023233470

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