Mountain Park Health Center | |
6975 W Glendale Ave Glendale AZ 85303 | |
(602) 243-7277 | |
Not Available |
Full Name | Mountain Park Health Center |
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Speciality | Clinic/Center |
Location | 6975 W Glendale Ave, Glendale, Arizona |
Authorized Official Name and Position | John Swagert (CEO) |
Authorized Official Contact | 6023233470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mountain Park Health Center 3003 N Central Ave Ste 1600 Phoenix AZ 85012-2908 Ph: (602) 323-3344 | Mountain Park Health Center 6975 W Glendale Ave Glendale AZ 85303 Ph: (602) 243-7277 |
NPI Number | 1316637481 |
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Provider Enumeration Date | 05/11/2023 |
Last Update Date | 05/11/2023 |
Medicare PECOS PAC ID | 8325949647 |
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Medicare Enrollment ID | O20230919002042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316637481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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