| Mountain Park Health Center | |
|
6975 W Glendale Ave Glendale AZ 85303 | |
| (602) 243-7277 | |
| Not Available |
| Full Name | Mountain Park Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6975 W Glendale Ave, Glendale, Arizona |
| Authorized Official Name and Position | John Swagert (CEO) |
| Authorized Official Contact | 6023233470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Park Health Center 3003 N Central Ave Ste 1600 Phoenix AZ 85012-2908 Ph: (602) 323-3344 | Mountain Park Health Center 6975 W Glendale Ave Glendale AZ 85303 Ph: (602) 243-7277 |
| NPI Number | 1316637481 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 8325949647 |
|---|---|
| Medicare Enrollment ID | O20230919002042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316637481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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