MOUNTAIN PARK HEALTH CENTER
NPI 1922105204
Clinic/Center - Federally Qualified Health Center (FQHC) in Goodyear, AZ

Q: What is Mountain Park Health Center's NPI number?

The NPI number for Mountain Park Health Center is 1922105204. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Mountain Park Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 20, 2006

140 N LITCHFIELD RD STE 200&106, GOODYEAR, AZ 85338(623) 936-6795(623) 478-8150 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2020, Mar 12, 2018 (2 updates tracked since 2018).

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About Mountain Park Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN PARK HEALTH CENTER (NPI 1922105204) is a healthcare organization registered as a federally qualified health center (fqhc) in Goodyear, Arizona and active in the NPI registry since September 2006. The organization lists John R Swagert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922105204

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMOUNTAIN PARK HEALTH CENTER

Location Address140 N LITCHFIELD RD STE 200&106Goodyear, AZ 85338-1226

Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3344 · Fax (602) 323-3496

Phone(623) 936-6795

Fax(623) 478-8150

Organization SubpartYes

Authorized OfficialJohn R SwagertCeo · (602) 323-3344

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1922105204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

140 N LITCHFIELD RD STE 200&106, Goodyear, AZ 85338

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Park Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20100728001245Part A · Federally Qualified Health Center (FQHC)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY E VEJNOSKA APRN, FNP

Nurse Practitioner

140 N LITCHFIELD RD STE 200&106
GOODYEAR, AZ 85338

Maricopa County (602) 243-7277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Park Health Center's NPI number?

The NPI number for Mountain Park Health Center is 1922105204. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Mountain Park Health Center located?

Mountain Park Health Center is located at 140 N Litchfield Rd Ste 200&106, Goodyear, AZ 85338. The listed phone number is (623) 936-6795.

What is Mountain Park Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mountain Park Health Center enrolled in Medicare?

Yes. Mountain Park Health Center is registered in the Medicare PECOS enrollment system.

When is Mountain Park Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Arizona, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Mountain Park Health Center accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Mountain Park Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Park Health Center was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.