institution
Mountain Park Health Center
Federally Qualified Health Center (FQHC) in Phoenix, Arizona
NPI 1558308825

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 1558308825 and holds a License No. OTC 0599 (Arizona).

The current practice location address for Mountain Park Health Center is 635 E. Baseline Rd., Phoenix, AZ and can be reached out via phone at 602-243-7277 and via fax at 602-243-1235.

Location: 635 E. Baseline Rd., Phoenix, AZ, 85012-2908
institution
Provider Profile Details
NPI Number
1558308825
Provider Name
Mountain Park Health Center
Credential
Provider Entity Type
Organization
Address
635 E. Baseline Rd., Phoenix, AZ, 85012-2908
Phone Number
602-243-7277
Fax Number
602-243-1235
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FQ31810 05 AZ
institution
Provider Business Practice Location Address Details
Address
635 E. Baseline Rd.
City
State
Zip
85042-6551
Phone Number
602-243-7277
Fax Number
602-243-1235
person
Provider Business Mailing Address Details
Address
635 E. Baseline Rd.
City
State
Zip
85042-6551
Phone Number
602-243-7277
Fax Number
602-243-1235
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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