CTR070061 A3.pdf

PDF 657 KB Posted Feb 26, 2024

Attached to: Master Agreement AZ|CTR070061
Contract number: CTR070061
Issued by: Arizona

About this file

Written by GovTribe AI · Dec 9, 2025

The document is a Contract Amendment No. 3 for the Well Woman Healthcare Program (WWHP) issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract involves Mountain Park Health Center, a domestic nonprofit corporation based in Phoenix, Arizona, with the contract number CTR070061.

The amendment extends the existing contract through February 25th, 2027, pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extension. Mountain Park Health Center is a healthcare organization with a NAICS code of 621111 (Offices of Physicians), classified as a non-profit organization, and has been in operation since 1980. The amendment appears to be a standard five-year maximum extension for a statewide health service contract, with no specified changes to pricing, goods, or services beyond the extension of the contract term.

View the file

Other files

File	Type	Posted
2025.07.01 GL AL UL WC.pdf	PDF	Feb 26, 2024
CTR070061 A1.pdf	PDF	Feb 26, 2024
CTR070061_Contract_Documents.pdf	PDF	Feb 26, 2024
CTR070061_Pricing.xlsx	XLSX spreadsheet	Feb 26, 2024
CTR070061 A1 Pricing.pdf	PDF	Feb 26, 2024
2024-07-01_COI_GL_AL_UL_WC.zip	ZIP file	Feb 26, 2024
ADHS_Mountain_Park_Health_Center_2526_Liability_Master_Well_Woman_6-26-2025_102613627.pdf	PDF	Feb 26, 2024
CTR070061 A2.pdf	PDF	Feb 26, 2024

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MOUNTAIN PARK HEALTH CENTER

Unique Entity ID

CJBHKAHY5F77

CAGE / NCAGE

4AWR4

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Nov 24, 2026

Physical Address

3003 N Central AVE STE 1600

Phoenix, Arizona 85012-2908

United States

Mailing Address

3003 N Central AVE STE 1600

Phoenix, Arizona 85012-2908

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Nov 25, 2025

Submission Date

Nov 24, 2025

Initial Registration Date

Feb 10, 2006

Entity Dates

Entity Start Date

Jun 1, 1980

Fiscal Year End Close Date

Nov 30

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Lauren Elrod on Nov 24, 2025 at 01:28 PM MOUNTAIN PARK HEALTH CENTER

Dec 08, 2025 04:48:05 PM GMT https://sam.gov/entity/CJBHKAHY5F77/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

EFT Indicator

CAGE Code

4AWR4

Points of Contact

Electronic Business

JOHN R SWAGERT, Chief Executive Officer 3003 N. Central AVE.

Suite 1600

Phoenix, Arizona 85012

United States

Lauren Elrod, General Counsel 3003 N. Central AVE.

Suite # 1600

Phoenix, Arizona 85012

United States

Government Business

JOHN R SWAGERT, Chief Executive Officer 3003 N. Central AVE.

Suite 1600

Phoenix, Arizona 85012

United States

Lauren Elrod, General Counsel 3003 N. Central AVE.

Suite # 1600

Phoenix, Arizona 85012

United States

Past Performance

Lauren Elrod, General Counsel 3003 N. Central AVE.

Suite # 1600

Phoenix, Arizona 85012

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

621111

NAICS Title

Offices Of Physicians (Except Mental Health Specialists)

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Lauren Elrod on Nov 24, 2025 at 01:28 PM MOUNTAIN PARK HEALTH CENTER

Dec 08, 2025 04:48:05 PM GMT https://sam.gov/entity/CJBHKAHY5F77/coreData?status=null Page 2 of 2

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CTR070061 A3 Debarment

Sam.gov

Arizona Corporation Commission

OIG Search Results

File details come from the government source that posted it. Updated Dec 9, 2025.