Organization · Type 2 NPI

Mountain Park Health Center

Federally Qualified Health Center (FQHC) · Tempe, AZ

NPI number 1376640656 Active

Practice location

1840 E Broadway Rd
Tempe, AZ 85282-1614

Fax (480) 927-1092

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) 261QF0400XOTC 4015 (AZ)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

21 other providers at this address

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About NPI 1376640656

Mountain Park Health Center's National Provider Identifier is 1376640656, issued on Sep 20, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tempe, AZ. The record was last updated on Mar 12, 2018.