Organization · Type 2 NPI

Mountain Park Health Center

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1487037958 Active

Practice location

5517 N 17th Ave
Phoenix, AZ 85015-2516

Call (602) 243-7277 Map

Fax (602) 323-3399

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XOTC 0599 (AZ)

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

4 other providers at this address

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About NPI 1487037958

Mountain Park Health Center's National Provider Identifier is 1487037958, issued on Jul 2, 2015. 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 13, 2018.