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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
164W00000X
Licensed Practical Nurse
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
183500000X
Pharmacist
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1835P1200X
Pharmacotherapy Pharmacist
183700000X
Pharmacy Technician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208000000X
Pediatrics Physician
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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