Mountain Park Health Center - Dental in Phoenix - Federally Qualified Health Center (fqhc)
Mountain Park Health Center - Dental - NPI 1710146188
Mountain Park Health Center - Dental is a Federally Qualified Health Center (fqhc) in Phoenix, Arizona. Mountain Park Health Center - Dental practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mountain Park Health Center - Dental is 1710146188. The last update date is 2018-03-13.
Mountain Park Health Center - Dental's current location address is 3003 N Central Ave Ste 1600, Phoenix, Arizona. You can contact this provider via phone number 6023233400 and fax number 6023233496. The mailing address for Mountain Park Health Center - Dental is 3003 N Central Ave Ste 1600, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Park Health Center - Dental |
|---|---|
| Address | 3003 N Central Ave Ste 1600, Phoenix, Arizona |
| Phone Number | 6023233400 |
| Fax Number | 6023233496 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Swagert John |
| Telephone Number | 6023233470 |
NPI Number Detail
| NPI Number | 1710146188 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2018-03-13 |
Provider Mailing Address Detail
| Address | 3003 N Central Ave Ste 1600 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850122908 |
| Phone Number | 6023233400 |
| Fax Number | 6023233496 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | OTC0599 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique identification code assigned to Mountain Park Health Center - Dental by the Centers for Medicare & Medicaid Services?
The Mountain Park Health Center - Dental has been issued the NPI (National Provider Identifier) 1710146188. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mountain Park Health Center - Dental is physically located?
The Mountain Park Health Center - Dental is situated at the following address: 3003 N Central Ave Ste 1600, Phoenix, AZ 850122908.
What is Mountain Park Health Center - Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mountain Park Health Center - Dental is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Mountain Park Health Center - Dental receive the assignment of its 1710146188 from the Centers for Medicare & Medicaid Services?
The Mountain Park Health Center - Dental was issued its 1710146188 by the Centers for Medicare & Medicaid Services on 2008-06-02.
As of what date was the information pertaining to Mountain Park Health Center - Dental, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountain Park Health Center - Dental, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-13.