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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
MCHC - Medical Mobile Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIPOSA COMMUNITY HEALTH CENTER, INC
Authorized official
TIA HANAVAN DUNCAN (CHIEF OF ADMINISTRATION)
(520) 761-2128
Entity
Organization
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-4487
Mailing address
825 N GRAND AVE, SUITE 100, NOGALES, AZ 85621
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
NULL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
1835P1200X
Pharmacotherapy Pharmacist
—
NULL
1835P1200X
Pharmacotherapy Pharmacist
—
—
183700000X
Pharmacy Technician
—
NULL
183700000X
Pharmacy Technician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
NULL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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