Mountain Park Health Center
Doing business as Jesse Owens Urgent Care
Federally qualified health center in Phoenix, AZ, Medicare certification number 031810.
Medicare certification
Provider of Services- CCN
- 031810
- Status
- Terminated Voluntary: merger or closure, Jun 11, 2018
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Address
- 325 East Baseline Road
Phoenix, AZ 85042
(602) 824-4352
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1558308825
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.