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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI Number 1013523539
LBN Legal business name MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official AMY TAYLOR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2020
Last updated 02/10/2025 - More than a year ago
Identifiers
AZ Medicaid 091922
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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