# MARIPOSA COMMUNITY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARIPOSA COMMUNITY HEALTH CENTER, INC
- **Other names:** MCHC - Medical Mobile Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568390128
- **Legal business name:** MARIPOSA COMMUNITY HEALTH CENTER, INC
- **Authorized official:** TIA HANAVAN DUNCAN (CHIEF OF ADMINISTRATION)
- **Authorized official phone:** (520) 761-2128

## Contact information

- **Practice address:** 1852 N MASTICK WAY, NOGALES, AZ 85621-1063
- **Practice address phone:** (520) 281-1550
- **Practice address fax:** (520) 281-4487
- **Mailing address:** 825 N GRAND AVE, SUITE 100, NOGALES, AZ 85621
- **Mailing address phone:** (520) 761-2128
- **Mailing address fax:** (520) 281-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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