| United Community Health Center - Maria Auxiliadora Inc | |
|
28720 S Nogales Hwy Amado AZ 85645-9997 | |
| (520) 407-5606 | |
| Not Available |
| Full Name | United Community Health Center - Maria Auxiliadora Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28720 S Nogales Hwy, Amado, Arizona |
| Authorized Official Name and Position | Rodolfo Jimenez (CEO) |
| Authorized Official Contact | 5204075600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Community Health Center - Maria Auxiliadora Inc 1260 S Campbell Ave Building 2 Green Valley AZ 85614-0503 Ph: (520) 407-5606 | United Community Health Center - Maria Auxiliadora Inc 28720 S Nogales Hwy Amado AZ 85645-9997 Ph: (520) 407-5606 |
| NPI Number | 1063732675 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 01/31/2020 |
| Medicare PECOS PAC ID | 4587634472 |
|---|---|
| Medicare Enrollment ID | O20111213000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063732675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
United Community Health Center Maria Auxiliadora, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 West Arivaca Road, Amado, AZ 85645 Phone: 520-407-5600 Fax: 520-625-8504 |