MOUNTAIN PARK HEALTH CENTER - DENTAL NPI 1710146188

NPI Information

NPI: 1710146188
Provider Name: MOUNTAIN PARK HEALTH CENTER - DENTAL
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
635 E BASELINE RD
PHOENIX, AZ
ZIP 85042
Phone: (602) 243-7277
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MOUNTAIN PARK HEALTH CENTER - DENTAL is a federally qualified health center (fqhc) clinic center in Phoenix, AZ. MOUNTAIN PARK HEALTH CENTER - DENTAL NPI is 1710146188. The provider is registered as an organization entity type.

The provider's business location address is:

635 E BASELINE RD
PHOENIX, AZ
ZIP 85042-551
Phone: (602) 243-7277
Fax: (602) 323-3299

The provider's authorized official is John Swagert .
The authorized official title is President & Ceo and has the following contact phone number (602) 323-3470.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 3/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	OTC0599	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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