MOUNTAIN PARK HEALTH CENTER
MOUNTAIN PARK HEALTH CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558308825, based in Phoenix, AZ. It is classified under Federally Qualified Health Center (FQHC).
Getting there
The practice address on file is 635 E. BASELINE RD., Phoenix, AZ 85042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OTC0599 | AZ | Federally Qualified Health Center (FQHC) primary |
| OTC 0599 | AZ | Federally Qualified Health Center (FQHC) |
This provider holds licence OTC0599 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8325949647
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Arizona | O20040119000460 | Part B Supplier - Clinic/group Practice |
| Arizona | O20100728001064 | Part A Provider - Federally Qualified Health Center (fqhc) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | OTC0599 | AZ | primary |
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | OTC 0599 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1558308825 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 2, 2006 |
| Last updated | Mar 13, 2018 |
| Status | Active |
| Practice address |
635 E. BASELINE RD. Phoenix, AZ 85042 (602) 243-7277 Fax (602) 243-1235 |
| Mailing address |
3003 N CENTRAL AVE STE 1600 Phoenix, AZ 85012 |
| Other identifiers |
FQ31810
· Medicaid (AZ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 5 | 8 | 3 | 0 | 8 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 6 | 0 | 7 | 8 | 4 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.