| Mountain Park Health Center | |
|
140 N Litchfield Rd Ste 200&106 Goodyear AZ 85338-1226 | |
| (623) 936-6795 | |
| (623) 478-8150 |
| Full Name | Mountain Park Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 N Litchfield Rd Ste 200&106, Goodyear, Arizona |
| Authorized Official Name and Position | John R Swagert (CEO) |
| Authorized Official Contact | 6023233344 |
| 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 140 N Litchfield Rd Ste 200&106 Goodyear AZ 85338-1226 Ph: (623) 936-6795 |
| NPI Number | 1922105204 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 8325949647 |
|---|---|
| Medicare Enrollment ID | O20100728001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922105204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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