Mountain Park Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

OTC 0599 Issued in AZ

Legal business name

MOUNTAIN PARK HEALTH CENTER

Practice address

17624 N 31St Ave
Phoenix, AZ 85053-1935

Phone

(602) 243-7277

NPI assigned

Jul 2, 2015

Organization subpart

Yes

Parent organization

MOUNTAIN PARK HEALTH CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John R Swagert

Title

Ceo

Phone

(602) 323-3242

Specialties & licenses 1

Addresses

Part of

Mountain Park Health CT

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lea Byers, DNP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1831539410
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1386027852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122908",
            "telephone_number": "602-323-3345",
            "fax_number": "602-323-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17624 N 31ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531935",
            "telephone_number": "602-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PARK HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN PARK HEALTH CENTER",
        "enumeration_date": "2015-07-02",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "SWAGERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-323-3242",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": "OTC 0599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Elizabeth Moulton, PA-C
• Sandra Moultrie
• Mount Mederi Medicine PLC
• Leah Mount, PA-C
• Mountain Park Dentistry L.L.C.
• Mountain Park Health Center
• Mountain Park Health Center
• Mountain Park Health Center
• Mountain Park Health Center
• Mountain Park Health Center

• Federally Qualified Health Center (FQHC) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Federally Qualified Health Center (FQHC) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.