Children’s hospital · AZ
Temporary - Mountain Park Health Center 325 E Baseline
Filed as Mountain Park Health Center.
Taking partNoTermination date filed1 April 2023Last certified18 February 2022
- 0Registered locations
- 3Associated locations
- 0Contract pharmacies
- 0With no end date
- 27 March 2020In 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, “Temporary - Mountain Park Health Center 325 E Baseline”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH09307Q. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 27 March 2020
- Termination date
- 1 April 2023
- Termination reason
- Other
- Certification date
- 18 February 2022
- Record last edited
- 1 April 2023
Identifiers
- 340B ID
- CH09307Q
- Entity type as filed
- CH
- Site ID
- BPS-H80-030510
- Grant number
- H80CS00141
- NPI
- 1467630012 (AZ), 1558308825 (AZ), 1578741120 (AZ), 1710146188 (AZ)
325 E Baseline Rd, Phoenix AZ 85042
Associated locations
| Mountain Park Health Center | 635 E Baseline Road | Phoenix AZ 85042 |
| Mountain Park Health Center Pharmacy, Maryvale | 6601 W Thomas RD | Phoenix AZ 85033 |
| Temporary - Mountain Park Health Center 325 E Baseline | 325 E Baseline Rd | Phoenix AZ 85042 |
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.