MOUNTAIN PARK HEALTH CENTER


Address: 6601 West Thomas Road, Phoenix, AZ 85035-5700
Phone: 6022437277

MOUNTAIN PARK HEALTH CENTER (NPI# 1740387018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740387018
Entity Type Organization
Organization Name MOUNTAIN PARK HEALTH CENTER
Practice Address 6601 West Thomas Road
Phoenix
AZ 85035-5700
Mailing Address 3003 N Central Ave Ste 1600
Phoenix
AZ 85012-2908
Practice Telephone 6022437277
Practice Fax Number 6232479742
Mailing Telephone 6023233407
Mailing Fax Number 6023233496
Enumeration Date 2006-09-20
Last Update Date 2018-03-12
Authorized Official Name DR. JOHN R SWAGERT (PRESIDENT /CEO)
Authorized Official Telephone 6023233344
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name MOUNTAIN PARK HEALTH CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
OTC 3035 AZ Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 102577 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386741668 Mountain Park Health Center Clinic/Center 3830 E Van Buren St, Phoenix, AZ 85008-6936 2006-09-20
1922105204 Mountain Park Health Center Clinic/Center 140 N Litchfield Rd Ste 200&106, Goodyear, AZ 85338-1277 2006-09-20
1811490881 Mountain Park Health Center Clinic/Center 303 E Baseline Rd, Phoenix, AZ 85042-6530 2018-03-15
1487037958 Mountain Park Health Center Clinic/Center 5517 N 17th Ave, Phoenix, AZ 85015-2516 2015-07-02
1386027852 Mountain Park Health Center Clinic/Center 17624 N 31st Ave, Phoenix, AZ 85053-1935 2015-07-02
1740663210 Mountain Park Health Center Clinic/Center 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 2015-07-02
1669878567 Mountain Park Health Center Clinic/Center 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 2014-11-05
1467630012 Mountain Park Health Center Pharmacy 635 E Baseline Rd, Phoenix, AZ 85042-6551 2008-02-06
1578741120 Mountain Park Health Center Pharmacy 6601 W Thomas Rd, Phoenix, AZ 85033-5700 2008-02-06
1376640656 Mountain Park Health Center Clinic/Center 1840 E Broadway Rd, Tempe, AZ 85282-1614 2006-09-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MOUNTAIN PARK HEALTH CENTER 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908

Office Location

Street Address 6601 WEST THOMAS ROAD
City PHOENIX
State AZ
Zip Code 85035-5700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215931985 John Morin Harpenau Obstetrics & Gynecology 6601 West Thomas Road, Phoenix, AZ 85033 2005-06-09
1083978274 Chisomnazu Winifred Iweha-ononye Nurse Practitioner 6601 West Thomas Road, Phoenix, AZ 85033 2012-07-02
1649549635 Chen-pei Hung Nurse Practitioner 6601 West Thomas Road, Phoenix, AZ 85033 2011-12-20
1174808315 Stan Kudish Pharmacist 6601 West Thomas Road, Phoenix, AZ 85033 2011-10-19
1578841342 Cristina Yturralde Counselor 6601 West Thomas Road, Phoenix, AZ 85033 2011-07-28
1619282613 Joshua C Rubin Psychologist 6601 West Thomas Road, Phoenix, AZ 85035-5700 2010-08-13
1568783314 Tritia Maria Pusateri Pediatrics 6601 West Thomas Road, Phoenix, AZ 85033-5700 2010-06-16
1053532986 Laura Elena Arce-gomez Family Medicine 6601 West Thomas Road, Phoenix, AZ 85033 2007-05-01
1710049150 Fernando Vazquez Pediatrics 6601 West Thomas Road, Phoenix, AZ 85033 2006-12-14
1649294760 Ugonna Kem Woods Pediatrics 6601 West Thomas Road, Phoenix, AZ 85033 2006-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912420621 Safe Run Non Emergency Medical Transportation LLC Non-emergency Medical Transport (VAN) 7205 W Mcdowell Rd, Apt 1073, Phoenix, AZ 85035 2017-07-25
1710435581 Aimee Uwimana Nurse Practitioner 5030 W. Mcdowell Rd. Ste. 16, Phoenix, AZ 85035 2016-09-21
1528427317 Akdhc, LLC Internal Medicine 4901 W Mcdowell Rd, Phoenix, AZ 85035 2016-02-22
1285921544 Tasnim Khalife Family Medicine 2303 N. 75th Ave., Phoenix, AZ 85035 2011-07-06
1528210192 Scott Alan Ulrick Chiropractor 5120 W. Mcdowell Rd, Phoenix, AZ 85035 2008-10-15
1467627331 Robert Anthony Bembenek Chiropractor 5030 W Mcdowell Suite 10, Phx, AZ 85035 2008-04-23
1164569935 Roy Song Dentist 1820 N 75th Ave, Suite 112, Phoenix, AZ 85035 2007-01-31
1659418994 Western Dental of Arizona, Inc. Dentist 1820 N. 75th Ave., Suite #112, Phoenix, AZ 85035 2007-01-30
1982774824 Nationwide Vision Center, LLC Technician/Technologist 1820 North 75th Avenue, Suite 102, Phoenix, AZ 85035 2006-11-08
1396748976 Kris Morshedian Internal Medicine 4901 W Mcdowell Rd., Phoenix, AZ 85035 2005-05-27
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194207878 Valle Del Sol, Inc. Clinic/Center 1510 S 19th Dr, Phoenix, AZ 85009-6540 2018-08-30
1578059168 Native Health Clinic/Center 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 2018-07-06
1841706785 Circle The City Clinic/Center 206 S 12th Ave, Phoenix, AZ 85007 2017-12-14
1346755295 Circle The City Clinic/Center 210 S 12th Ave, Phoenix, AZ 85007-3101 2017-12-13
1437607389 Neighborhood Outreach Access To Health Clinic/Center 20440 N 27th Ave Ste 450, Phoenix, AZ 85027-3240 2016-09-20
1972907129 Neighborhood Outreach Access To Health Clinic/Center 16251 N Cave Creek Rd, Phoenix, AZ 85032-2976 2014-10-17
1982830410 Native Health Clinic/Center 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 2009-06-10
1386741668 Mountain Park Health Center Clinic/Center 3830 E Van Buren St, Phoenix, AZ 85008-6936 2006-09-20
1770196016 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 106 N. Rose Street, Phoenix, OR 97535 2020-08-26
1164055596 Circle The City Clinic/Center 3522 N 3rd Ave, Phoenix, AZ 85013-3903 2020-02-13
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Competitor

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City PHOENIX
Zip Code 85035

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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