MOUNTAIN PARK HEALTH CENTER NPI 1811490881

NPI Information

  • NPI: 1811490881
  • Provider Name: MOUNTAIN PARK HEALTH CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 303 E BASELINE RD
    PHOENIX, AZ
    ZIP 85042
  • Phone: (602) 243-7277

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NPI Details

MOUNTAIN PARK HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Phoenix, AZ. MOUNTAIN PARK HEALTH CENTER NPI is 1811490881. The provider is registered as an organization entity type.

The provider's business location address is:

303 E BASELINE RD
PHOENIX, AZ
ZIP 85042-530
Phone: (602) 243-7277
Fax: (602) 276-4427

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

The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/15/2018.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)ARIZONAYes

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: 3/30/2025

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