NPIMap

Mountain Park Health Center

A Medicare group practice based in Phoenix, AZ: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 8325949647), with 200 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325949647The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
12
Group size
117 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 5 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040910000581 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1740387018
O20040910000565 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1386741668
O20040119000460 AZ Part B Supplier - Clinic/Group Practice 1558308825
O20150922000527 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1487037958
O20151007001337 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1740663210
O20230919002042 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1316637481
O20250616000410 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1386452415
O20211202002715 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1912661323
O20180629002197 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1811490881
O20100728001245 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1922105204
O20100728001273 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1376640656
O20100728001064 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1558308825

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 200

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (185) or whom Care Compare lists as members (117).

Sources for this page