Mariposa Community Health Center, Inc - Dental, Rio Rico is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rio Rico, Arizona. The current practice location for Mariposa Community Health Center, Inc - Dental, Rio Rico is 1103 Circulo Mercado, Rio Rico, Arizona. For appointments, you can reach them via phone at
(520) 281-1550. The mailing address for Mariposa Community Health Center, Inc - Dental, Rio Rico is 825 N Grand Ave Ste 100, Nogales, Arizona and phone number is (520) 761-2128.
Mariposa Community Health Center, Inc - Dental, Rio Rico is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1013213404. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(520) 281-1550.
Dental Care Clinic Profile
| Full Name | Mariposa Community Health Center, Inc - Dental, Rio Rico |
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| Speciality | Clinic/Center |
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| Location | 1103 Circulo Mercado, Rio Rico, Arizona |
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| Authorized Official Name and Position | Daniel Prevost (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 5207612128 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mariposa Community Health Center, Inc - Dental, Rio Rico
825 N Grand Ave Ste 100
Nogales
AZ 85621-2385
Ph: (520) 761-2128 | Mariposa Community Health Center, Inc - Dental, Rio Rico
1103 Circulo Mercado
Rio Rico
AZ 85648-6248
Ph: (520) 281-1550 |
NPI Details:
| NPI Number | 1013213404 |
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| Provider Enumeration Date | 02/01/2011 |
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| Last Update Date | 04/10/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8123926326 |
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| Medicare Enrollment ID | O20100426000401 |
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Medical Identifiers
Medical identifiers for Mariposa Community Health Center, Inc - Dental, Rio Rico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013213404 | NPI | - | NPPES |
| 931874 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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