Mountain Park Health Center in Goodyear - Federally Qualified Health Center (fqhc)
Mountain Park Health Center - NPI 1922105204
Mountain Park Health Center is a Federally Qualified Health Center (fqhc) in Goodyear, Arizona. Mountain Park Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mountain Park Health Center is 1922105204. The last update date is 2020-02-27.
Mountain Park Health Center's current location address is 140 N Litchfield Rd Ste 200&106, Goodyear, Arizona. You can contact this provider via phone number 6239366795 and fax number 6234788150. The mailing address for Mountain Park Health Center is 140 N Litchfield Rd Ste 200&106, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Park Health Center |
|---|---|
| Address | 140 N Litchfield Rd Ste 200&106, Goodyear, Arizona |
| Phone Number | 6239366795 |
| Fax Number | 6234788150 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Swagert R John |
| Credentials | MD |
| Telephone Number | 6023233344 |
NPI Number Detail
| NPI Number | 1922105204 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-02-27 |
Provider Mailing Address Detail
| Address | 140 N Litchfield Rd Ste 200&106 |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853381277 |
| Phone Number | 6239366795 |
| Fax Number | 6234788150 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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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 Mountain Park Health Center's 1922105204?
The Mountain Park Health Center's NPI (National Provider Identifier) Number is 1922105204. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mountain Park Health Center?
The Mountain Park Health Center is situated at 140 N Litchfield Rd Ste 200&106, in the city of Goodyear, state of AZ, with the zip code 853381277.
What is Mountain Park Health Center'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 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 receive the assignment of its 1922105204 from the Centers for Medicare & Medicaid Services?
The Mountain Park Health Center was issued its 1922105204 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date was the information regarding Mountain Park Health Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mountain Park Health Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-27.