Mariposa Mesquite

LBN: Mariposa Community Health Center, Inc
Mariposa Mesquite is an health care organization with primary practice located at 1835 N Mastick Way , Nogales AZ 85621-1064. The organization recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. 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) 281-1550, or through Prevost, Daniel via phone (520) 761-2128.

Contact Information

Primary practice address
1835 N Mastick Way Nogales AZ 85621-1064
Phone: (520) 281-1550
Fax: (520) 281-4487
Website:
Map and Directions
Authorized official contact:
Name: Prevost, Daniel
Phone: (520) 761-2128

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104122563
LBN Legal business name Mariposa Community Health Center, Inc
DBA Doing business as Mariposa Mesquite
Authorized official Prevost, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2011
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104122563 NPPES
Arizona Other ZFQ03-1884 MEDICARE PART B GROUP #
Arizona Other 03-1884 MEDICARE PART B GROUP #
Arizona MEDICAID 931890 MEDICARE PART B GROUP #

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