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
2221 E FRONTAGE RD STE 101
BLDG G-STE 101/BLDG F-STE 104
TUBAC, AZ85646-9997
Phone: 520-281-1550
Fax: 520-281-4487
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X
General Practice 208D00000X
Gynecology 207VG0400X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI Number 1578922787
Legal business name
LBN
MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official AMY TAYLOR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 02/16/2016
Last updated 02/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 16163
  • AZ License #: 43414
  • AZ License #: AP4918
  • AZ Medicaid: 156624
  • AZ Other: ZFQ31812 MEDICARE PART B GROUP#

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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