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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI Number 1578922787
LBN Legal business name MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official AMY TAYLOR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2016
Last updated 02/17/2025 - More than a year ago
Identifiers
AZ License # 16163
AZ License # 43414
AZ License # AP4918
AZ Medicaid 156624
AZ Other ZFQ31812 MEDICARE PART B GROUP#
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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