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Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Parent organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Other names
Mariposa Community Health Center, Inc.-Dental, Rio Rico
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official
AMY TAYLOR (CHIEF EXECUTIVE OFFICER)
(520) 761-2128
Entity
Organization
Contact information
Practice address
1103 CIRCULO MERCADO, RIO RICO, AZ 85648-6248
(520) 375-5032
(520) 761-2159
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2133
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013213404
GROUP NPI
—
Enumeration date
03/21/2024
Last updated
02/17/2025
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