340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH093070 MOUNTAIN PARK HEALTH CENTER (Active)
Print
Main Details
Name
MOUNTAIN PARK HEALTH CENTER
Subdivision Name
Mountain Park Health Center - Baseline
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000998
340B ID
CH093070
Grant Number
H80CS00141
Additional Details
Current Program Status
Active
Registration Date
10/1/1996
Participating Start Date
10/1/1996
Participating Approval Date
10/1/1996
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Mountain Park Health Center
John R. Swagert, CEO
(602) 323-3470
Primary Contact
Mountain Park Health Center
Maegan Anne Burris, Associate Director of Pharmacy
(602) 323-8180
Addresses
Street Address
635 E Baseline Rd
Phoenix, AZ 85042-6551
Billing Address
Mountain Park Health Center - Central Office
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012-2908
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session