Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Other names
Mariposa Nogales West
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TAYLOR (CHIEF EXECUTIVE OFFICER)
(520) 761-2128
Entity
Organization
Contact information
Practice address
1209 W TARGET RANGE RD, NOGALES, AZ 85621-2466
(520) 287-4747
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091922
—
AZ
Enumeration date
09/21/2020
Last updated
02/10/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up