Mariposa Tubac Regional Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tubac, Arizona. The current practice location for Mariposa Tubac Regional Health Center is 2221 E Frontage Rd Ste 101, Bldg G-ste 101/bldg F-ste 104, Tubac, Arizona. For appointments, you can reach them via phone at
(520) 281-1550. The mailing address for Mariposa Tubac Regional Health Center is 825 N Grand Ave Ste 100, Nogales, Arizona and phone number is (520) 761-2128.
Mariposa Tubac Regional Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1578922787. 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.
Primary Care Clinic Profile
| Full Name | Mariposa Tubac Regional Health Center |
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| Speciality | Clinic/Center |
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| Location | 2221 E Frontage Rd Ste 101, Tubac, 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 |
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Mariposa Tubac Regional Health Center
825 N Grand Ave Ste 100
Nogales
AZ 85621-2385
Ph: (520) 761-2128 | Mariposa Tubac Regional Health Center
2221 E Frontage Rd Ste 101
Bldg G-ste 101/bldg F-ste 104
Tubac
AZ 85646-9997
Ph: (520) 281-1550 |
NPI Details:
| NPI Number | 1578922787 |
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| Provider Enumeration Date | 02/16/2016 |
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| Last Update Date | 01/17/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8123926326 |
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| Medicare Enrollment ID | O20160907003082 |
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Medical Identifiers
Medical identifiers for Mariposa Tubac Regional Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578922787 | NPI | - | NPPES |
| 156624 | Medicaid | AZ | |
| ZFQ31812 | Other | AZ | MEDICARE PART B GROUP# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | AP4918 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 43414 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 16163 (Arizona) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | AP4918 (Arizona) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 43414 (Arizona) | Secondary |
| 208000000X | Pediatrics | AP4918 (Arizona) | Secondary |
| 208000000X | Pediatrics | 43414 (Arizona) | Secondary |
| 208D00000X | General Practice | AP4918 (Arizona) | Secondary |
| 208D00000X | General Practice | 43414 (Arizona) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | AP4918 (Arizona) | Secondary |
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