NPI Database
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Contact Information

MARIPOSA COMMUNITY HEALTH CENTER, INC
1103 CIRCULO MERCADO
RIO RICO, AZ85648-6248
 Phone: 520-375-5032
 Fax: 520-761-2159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental

261QD0000X
 

Dental Hygienist

124Q00000X
 

Dental Public Health

1223D0001X
 

Dentist

122300000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI # 1073373536
LBN Legal business name MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official AMY TAYLOR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/21/2024
Last updated 02/17/2025 - More than a year ago
Identifiers
Other 1013213404 GROUP NPI
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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