National Provider Identifier Database

MARIPOSA COMMUNITY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MARIPOSA COMMUNITY HEALTH CENTER, INC
1209 W TARGET RANGE RD
NOGALES, AZ85621-2466
Phone: 520-287-4747
Fax: 520-281-1112
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI Number 1013523539
Legal business name
LBN
MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official AMY TAYLOR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 09/21/2020
Last updated 02/10/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 091922

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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