MOUNTAIN PARK HEALTH CENTER – NPI #1922105204
Clinic/Center

MOUNTAIN PARK HEALTH CENTER is an AHC clinic located in GOODYEAR, AZ. NPPES has assigned the NPI number 1922105204 to MOUNTAIN PARK HEALTH CENTER on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN PARK HEALTH CENTER below.

NPI Profile for
MOUNTAIN PARK HEALTH CENTER

NPI Number
1922105204
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAIN PARK HEALTH CENTER
Primary location
140 N LITCHFIELD RD STE 200&106
GOODYEAR, AZ 85338-1226
Phone: (623) 936-6795 Fax: (623) 478-8150
Mailing address
3003 N CENTRAL AVE STE 1600
PHOENIX, AZ 85012-2908
Phone: (602) 323-3344 Fax: (602) 323-3496
Organization Subpart
Yes - MOUNTAIN PARK HEALTH CENTER is subpart of another organization.
Authorized Official
JOHN SWAGERT
CEO
Phone: (602) 323-3344
Updated
Certification Date
Aug 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.