Mountain Park Health Center
Doing business as Mountain Park Health Center - Maryvale Clinic
Federally qualified health center in Phoenix, AZ, Medicare certification number 031843.
Medicare certification
Provider of Services- CCN
- 031843
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Oct 20, 2004
- Last certification
- Oct 20, 2004
- Address
- 4616 North 51St Avenue, Suite 203
Phoenix, AZ 85033
(602) 323-3345
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1740387018
Medicare enrollment
Related certifications
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.