| NPI | 1376640656 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-20 |
| Last Updated | 2018-03-12 |
| Authorized Official | John Swagert CEO Phone: 6023233242 |
| Mailing Address | 3003 N Central Ave Ste 1600 Phoenix, AZ 85012-2908 United States Phone: (602) 323-3242 | Fax: (602) 323-3496 📍 View Map |
| Primary Practice Address | 1840 E Broadway Rd Tempe, AZ 85282-1614 United States Phone: (602) 243-7277 | Fax: (480) 927-1092 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | AZ | OTC 4015 |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
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About NPI 1376640656
Mountain Park Health Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1376640656. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Tempe, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376640656?
NPI 1376640656 belongs to Mountain Park Health Center, a Clinic/Center, Federally Qualified Health Center (FQHC) in Tempe, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376640656 active?
The current status of NPI 1376640656 in the NPPES registry is Active. The record was last updated on 2018-03-12.
What specialty is NPI 1376640656?
NPI 1376640656 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1376640656?
You can verify NPI 1376640656 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1376640656?
The primary practice address on file for NPI 1376640656 is 1840 E Broadway Rd, Tempe, AZ 85282-1614. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376640656 issued?
NPI 1376640656 was first issued (enumerated) on 2006-09-20. The NPPES record was last updated on 2018-03-12.
Practice Location Map
Mountain Park Health Center is located at 1840 E Broadway Rd, Tempe, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mountain Park Health Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1376640656. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | OTC 4015 | AZ |