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Export Provider Record NPI 1386741668
Mountain Park Health Center
Organization Subpart: YES
Active
NPI Number1386741668
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1386741668
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-09-20
Last Updated2018-03-12
Authorized OfficialJohn Swagert
President and CEO
Phone: 6023233344
Mailing Address3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
United States
Phone: (602) 323-3344 | Fax: (602) 323-3496
📍 View Map
Primary Practice Address3830 E Van Buren St
Phoenix, AZ 85008-6936
United States
Phone: (602) 243-7277 | Fax: (602) 286-0808
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)AZOTC 3514
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About NPI 1386741668

Mountain Park Health Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1386741668. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Phoenix, 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 1386741668?

NPI 1386741668 belongs to Mountain Park Health Center, a Clinic/Center, Federally Qualified Health Center (FQHC) in Phoenix, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1386741668 active?

The current status of NPI 1386741668 in the NPPES registry is Active. The record was last updated on 2018-03-12.

What specialty is NPI 1386741668?

NPI 1386741668 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 1386741668?

You can verify NPI 1386741668 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 1386741668?

The primary practice address on file for NPI 1386741668 is 3830 E Van Buren St, Phoenix, AZ 85008-6936. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1386741668 issued?

NPI 1386741668 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 3830 E Van Buren St, Phoenix, AZ. Use the map below to find directions or verify the practice location.

📍 3830 E Van Buren St, Phoenix, AZ 85008-6936  ·  Open in Google Maps ↗

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 1386741668. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Federally Qualified Health Center (FQHC)OTC 3514AZ
Data Verified from CMS NPPES Last synced: 2026-08-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162