| Mariposa Nogales West | |
|
1209 W Target Range Rd Nogales AZ 85621-2466 | |
| (520) 287-4747 | |
| (520) 281-1112 |
| Full Name | Mariposa Nogales West |
|---|---|
| Speciality | Clinic/Center |
| Location | 1209 W Target Range Rd, Nogales, 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 |
|---|---|
| Mariposa Nogales West 825 N Grand Ave Ste 100 Nogales AZ 85621-1061 Ph: (520) 761-2128 | Mariposa Nogales West 1209 W Target Range Rd Nogales AZ 85621-2466 Ph: (520) 287-4747 |
| NPI Number | 1013523539 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 8123926326 |
|---|---|
| Medicare Enrollment ID | O20201204001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013523539 | NPI | - | NPPES |
| 091922 | Medicaid | AZ |
Pima Heart Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 N Morley Ave, Nogales, AZ 85621 Phone: 520-838-3540 Fax: 520-325-3526 | |
Carondelet Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 W. Target Range Rd., Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3135 | |
The Women's Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 494 N. Carondelet Dr., Nogales, AZ 85621 Phone: 520-761-1603 Fax: 520-287-4471 | |
Mariposa Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3231 N Grand Ave, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |