MARIPOSA COMMUNITY HEALTH CENTER INC NPI 1013213404

NPI Information

MARIPOSA COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Rio Rico, AZ. MARIPOSA COMMUNITY HEALTH CENTER, INC NPI is 1013213404. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mariposa Community Health Center, Inc - Dental, Rio Rico.

The provider's business location address is:

1103 CIRCULO MERCADO
RIO RICO, AZ
ZIP 85648-248
Phone: (520) 281-1550
Fax: (520) 281-4487

The provider's authorized official is Daniel Prevost .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 761-2128.

The enumeration date for this NPI number is 2/1/2011 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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