institution
Mountain Park Health Center
Federally Qualified Health Center (FQHC) in Phoenix, Arizona
NPI 1487037958

Mountain Park Health Center is a Federally Qualified Health Center (FQHC) based in Phoenix, AZ and is specialized in Federally Qualified Health Center (FQHC). Mountain Park Health Center practices in Phoenix, AZ. The NPI Number for Mountain Park Health Center is 1487037958 and holds a License No. OTC 0599 (Arizona).

The current practice location address for Mountain Park Health Center is 5517 N 17Th Ave, Phoenix, AZ and can be reached out via phone at 602-243-7277 and via fax at 602-323-3399.

Location: 5517 N 17Th Ave, Phoenix, AZ, 85012-2908
institution
Provider Profile Details
NPI Number
1487037958
Provider Name
Mountain Park Health Center
Credential
Provider Entity Type
Organization
Address
5517 N 17Th Ave, Phoenix, AZ, 85012-2908
Phone Number
602-243-7277
Fax Number
602-323-3399
Provider Enumeration Date
07/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5517 N 17Th Ave
City
State
Zip
85015-2516
Phone Number
602-243-7277
Fax Number
602-323-3399
person
Provider Business Mailing Address Details
Address
5517 N 17Th Ave
City
State
Zip
85015-2516
Phone Number
602-243-7277
Fax Number
602-323-3399
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
OTC 0599 (Arizona)
Definition
Definition to come...
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