| Mountain Park Health Center | |
|
5517 N 17th Ave Phoenix AZ 85015-2516 | |
| (602) 243-7277 | |
| (602) 323-3399 |
| Full Name | Mountain Park Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5517 N 17th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | John R Swagert (CEO) |
| Authorized Official Contact | 6023233242 |
| 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) 323-3345 | Mountain Park Health Center 5517 N 17th Ave Phoenix AZ 85015-2516 Ph: (602) 243-7277 |
| NPI Number | 1487037958 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 03/13/2018 |
| Medicare PECOS PAC ID | 8325949647 |
|---|---|
| Medicare Enrollment ID | O20150922000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487037958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC 0599 (Arizona) | Primary |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |