Mariposa Community Health Center, Inc

LBN: Mariposa Community Health Center, Inc
Mariposa Community Health Center, Inc is an health care organization with primary practice located at 1103 Circulo Mercado , Rio Rico AZ 85648-6248. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Dental Providers / General Practice is the primary health care specialty. Mariposa Community Health Center, Inc can be contacted via phone (520) 375-5032, or through Prevost, Daniel via phone (520) 761-2128.

Contact Information

Primary practice address
1103 Circulo Mercado Rio Rico AZ 85648-6248
Phone: (520) 375-5032
Fax: (520) 761-2159
Website:
Map and Directions
Authorized official contact:
Name: Prevost, Daniel
Phone: (520) 761-2128

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1073373536
LBN Legal business name Mariposa Community Health Center, Inc
DBA Doing business as
Authorized official Prevost, Daniel
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2024
Last updated Mar 21st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073373536 NPPES
Other 1013213404 GROUP NPI

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