MARIPOSA COMMUNITY HEALTH CENTER, INC – NPI #1013523539
Clinic/Center

MARIPOSA COMMUNITY HEALTH CENTER, INC is an AHC clinic located in NOGALES, AZ. NPPES has assigned the NPI number 1013523539 to MARIPOSA COMMUNITY HEALTH CENTER, INC on September 21, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Feb 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIPOSA COMMUNITY HEALTH CENTER, INC below.

NPI Profile for
MARIPOSA COMMUNITY HEALTH CENTER, INC

NPI Number
1013523539
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARIPOSA COMMUNITY HEALTH CENTER, INC
Primary location
1209 W TARGET RANGE RD
NOGALES, AZ 85621-2466
Phone: (520) 287-4747 Fax: (520) 281-1112
Mailing address
825 N GRAND AVE STE 100
NOGALES, AZ 85621-1061
Phone: (520) 761-2128 Fax: (520) 281-1112
Organization Subpart
No
Authorized Official
AMY TAYLOR
CHIEF EXECUTIVE OFFICER
Phone: (520) 761-2128
Updated
Certification Date
Feb 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARIPOSA COMMUNITY HEALTH CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ091922
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.