Organization · Type 2 NPI

Mountain Park Health Center

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1386741668 Active

Practice location

3830 E Van Buren St
Phoenix, AZ 85008-6936

Call (602) 243-7277 Map

Fax (602) 286-0808

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XOTC 3514 (AZ)

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

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About NPI 1386741668

Mountain Park Health Center's National Provider Identifier is 1386741668, issued on Sep 20, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 12, 2018.