| |
1103 Circulo Mercado Rio Rico AZ 85648-6248 | |
(520) 281-1550 | |
(520) 281-4487 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1103 Circulo Mercado, Rio Rico, Arizona |
Authorized Official Name and Position | Daniel Prevost (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5207612128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
825 N Grand Ave Ste 100 Nogales AZ 85621-2385 Ph: (520) 761-2128 | 1103 Circulo Mercado Rio Rico AZ 85648-6248 Ph: (520) 281-1550 |
NPI Number | 1013213404 |
---|---|
Provider Enumeration Date | 02/01/2011 |
Last Update Date | 04/10/2024 |
Medicare PECOS PAC ID | 8123926326 |
---|---|
Medicare Enrollment ID | O20100426000401 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013213404 | NPI | - | NPPES |
931874 | Medicaid | AZ |
Mariposa Community Health Center, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Circulo Mercado, Rio Rico, AZ 85648 Phone: 520-375-5032 Fax: 520-761-2159 |