Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Parent organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Other names
Mariposa Nogales North
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
3231 N GRAND AVE, NOGALES, AZ 85621-3905
(520) 281-1550
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/17/2023
Last updated
02/17/2025
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