Mariposa Nogales West
LBN: Mariposa Community Health Center, Inc
Mariposa Nogales West is an health care organization with primary practice located at 1209 W Target Range Rd , Nogales AZ 85621-2466. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Mariposa Community Health Center, Inc can be contacted via phone (520) 287-4747, or through Prevost, Daniel via phone (520) 761-2128.
Contact Information
Primary practice address
1209 W Target Range Rd
Nogales AZ 85621-2466
Phone: (520) 287-4747
Fax: (520) 281-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1013523539 |
|---|---|
| LBN Legal business name | Mariposa Community Health Center, Inc |
| DBA Doing business as | Mariposa Nogales West |
| Authorized official | Prevost, Daniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Jan 11th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013523539 | NPPES |
| Arizona | MEDICAID | 091922 |
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