Children’s hospital · AZ
MOUNTAIN PARK HEALTH CENTER
- 0Registered locations
- 3Associated locations
- 1Contract pharmacies
- 1With no end date
- 1 October 2015In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “MOUNTAIN PARK HEALTH CENTER” (340B ID CH09307G), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH09307G
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 October 2015
- Certification date
- 18 February 2026
- Record last edited
- 18 February 2026
Identifiers
- 340B ID
- CH09307G
- Entity type as filed
- CH
- Site ID
- BPS-H80-015223
- Grant number
- H80CS00141
- NPI
- 1467630012 (AZ), 1487037958 (AZ), 1578741120 (AZ), 1669878567 (AZ)
5517 N 17th Ave, Phoenix AZ 85015
Associated locations
| Organization | Address | Where |
|---|---|---|
| MOUNTAIN PARK HEALTH CENTER | 5517 N 17th Ave | Phoenix AZ 85015 |
| Mountain Park Health Center Pharmacy, Maryvale | 6601 W Thomas RD | Phoenix AZ 85033 |
| Mountain Park Health Center | 325 E Baseline Rd | Phoenix AZ 85042 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| WAL-MART PHARMACY 10-3771 | PHOENIX, AZ | 1 July 2024 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.