Organization · Type 2 NPI

Mountain Park Health Center

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1740387018 Active

Practice location

6601 W Thomas Rd
Phoenix, AZ 85033-5700

Fax (623) 247-9742

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) 261QF0400XOTC 3035 (AZ)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1740387018

Mountain Park Health Center's National Provider Identifier is 1740387018, 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 Aug 27, 2024.