| Mariposa Community Health Center, Inc | |
|
1852 N Mastick Way Nogales AZ 85621-1063 | |
| (520) 281-1550 | |
| (520) 281-4487 |
| Full Name | Mariposa Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1852 N Mastick Way, 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 Community Health Center, Inc 825 N Grand Ave Ste 100 Nogales AZ 85621-2385 Ph: (520) 761-2128 | Mariposa Community Health Center, Inc 1852 N Mastick Way Nogales AZ 85621-1063 Ph: (520) 281-1550 |
| NPI Number | 1417985474 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 8123926326 |
|---|---|
| Medicare Enrollment ID | O20031226000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417985474 | NPI | - | NPPES |
| ZFQ31812 | Other | AZ | MEDICARE PART B GROUP # |
| 931845 | Medicaid | AZ | |
| 031812 | Other | AZ | MEDICARE PART A GROUP # |
| Provider Name | Sean M. O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912994500 PECOS PAC ID: 3971493313 Enrollment ID: I20040318000674 |
| Provider Name | Douglas G Lowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538199971 PECOS PAC ID: 6103818406 Enrollment ID: I20040503000354 |
| Provider Name | Ron Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164581393 PECOS PAC ID: 8820086069 Enrollment ID: I20040505000618 |
| Provider Name | Molly A Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639146145 PECOS PAC ID: 8325097488 Enrollment ID: I20050114000637 |
| Provider Name | Leo G Stinnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306864145 PECOS PAC ID: 3476502352 Enrollment ID: I20050118000708 |
| Provider Name | Eladio Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318810 PECOS PAC ID: 3476578360 Enrollment ID: I20051010000898 |
| Provider Name | Timothy R Penniston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144243692 PECOS PAC ID: 8729035472 Enrollment ID: I20090928000360 |
| Provider Name | Edmond L Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235304171 PECOS PAC ID: 1850444233 Enrollment ID: I20100114000343 |
| Provider Name | Chijioke N Soribe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033392113 PECOS PAC ID: 6901950567 Enrollment ID: I20101104001073 |
| Provider Name | James P Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831403120 PECOS PAC ID: 9436345881 Enrollment ID: I20101124000100 |
| Provider Name | Pamela D Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740234616 PECOS PAC ID: 8921016718 Enrollment ID: I20110602000375 |
| Provider Name | Tanya L Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023235934 PECOS PAC ID: 3779744412 Enrollment ID: I20120405000540 |
| Provider Name | Gonzalo E Ibarra Murrieta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437446812 PECOS PAC ID: 3870754245 Enrollment ID: I20120411000401 |
| Provider Name | Jose I Duran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093772089 PECOS PAC ID: 7911999826 Enrollment ID: I20120815000838 |
| Provider Name | Martha V Borbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457604506 PECOS PAC ID: 5193979805 Enrollment ID: I20130205000444 |
| Provider Name | Teresa A Colunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023359429 PECOS PAC ID: 9032350699 Enrollment ID: I20130724000091 |
| Provider Name | Jeffrey L Courville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801123948 PECOS PAC ID: 2466686852 Enrollment ID: I20131018001267 |
| Provider Name | Lydia H Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225479868 PECOS PAC ID: 7618102591 Enrollment ID: I20131031000003 |
| Provider Name | Joanne Hedgecock Cardinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760557961 PECOS PAC ID: 6800960600 Enrollment ID: I20150204002443 |
| Provider Name | Greta Liz Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619365954 PECOS PAC ID: 4587980594 Enrollment ID: I20150311000583 |
| Provider Name | Edith G Hernandez Hinostroza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780936922 PECOS PAC ID: 8729394820 Enrollment ID: I20150904000044 |
| Provider Name | John J Wilkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013111590 PECOS PAC ID: 9436474111 Enrollment ID: I20151209002695 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20161109001990 |
| Provider Name | Emily T Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033533476 PECOS PAC ID: 1052694668 Enrollment ID: I20170206001441 |
| Provider Name | Steven J Dudick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184967846 PECOS PAC ID: 0244539369 Enrollment ID: I20170721000794 |
| Provider Name | Kacy L Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891222105 PECOS PAC ID: 9436420254 Enrollment ID: I20170811001794 |
| Provider Name | Margie M Hartfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659468650 PECOS PAC ID: 0244413151 Enrollment ID: I20171107000788 |
| Provider Name | Mary Garcia-kumirov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487041216 PECOS PAC ID: 9638438989 Enrollment ID: I20180115000292 |
| Provider Name | Margarita N Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134618242 PECOS PAC ID: 2961758511 Enrollment ID: I20180711003967 |
| Provider Name | Crystalynn T Woodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861804452 PECOS PAC ID: 6800014663 Enrollment ID: I20180727000770 |
| Provider Name | Nourhan F Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962813352 PECOS PAC ID: 7012269020 Enrollment ID: I20181002002558 |
| Provider Name | Caitlyn Procopio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233217 PECOS PAC ID: 0648514034 Enrollment ID: I20181212001908 |
| Provider Name | Sonia I Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524083 PECOS PAC ID: 4981947231 Enrollment ID: I20190530000603 |
| Provider Name | Jared Ryan Lunkenheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922418979 PECOS PAC ID: 4789804329 Enrollment ID: I20190729001303 |
| Provider Name | Jorge Omar Flores Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437507654 PECOS PAC ID: 8325379332 Enrollment ID: I20191004002785 |
| Provider Name | Irma Urrutia-potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20200213002195 |
| Provider Name | Amber Brasfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000990 PECOS PAC ID: 6507293362 Enrollment ID: I20200218000275 |
| Provider Name | Stephanie Previc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876602 PECOS PAC ID: 8022436245 Enrollment ID: I20200914002847 |
| Provider Name | Afrem Malki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821048760 PECOS PAC ID: 8628054863 Enrollment ID: I20210715003552 |
| Provider Name | Taylor Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639602626 PECOS PAC ID: 3577966795 Enrollment ID: I20210726003645 |
| Provider Name | Sharon L Barefoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679184402 PECOS PAC ID: 6204232184 Enrollment ID: I20210831003357 |
| Provider Name | Alfonso C. Robles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396232153 PECOS PAC ID: 3375949431 Enrollment ID: I20210915001271 |
| Provider Name | Alise A Magnuson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508864638 PECOS PAC ID: 2860410917 Enrollment ID: I20211130003217 |
| Provider Name | Swarna Erramreddi Latha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912013954 PECOS PAC ID: 7517950512 Enrollment ID: I20220105001907 |
| Provider Name | Marvin Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548365778 PECOS PAC ID: 7719927482 Enrollment ID: I20220120002272 |
| Provider Name | May Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669512026 PECOS PAC ID: 9739177023 Enrollment ID: I20220620001809 |
| Provider Name | Maria-luz Sotomayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457098634 PECOS PAC ID: 0244612687 Enrollment ID: I20220802002817 |
| Provider Name | John E Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447666482 PECOS PAC ID: 9436375375 Enrollment ID: I20221206003407 |
| Provider Name | Cynthia M Flores Ybarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740906676 PECOS PAC ID: 7517337249 Enrollment ID: I20221221001576 |
| Provider Name | Lydia Weyenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407381650 PECOS PAC ID: 4486048592 Enrollment ID: I20230227002174 |
| Provider Name | Ada Maureen Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265968 PECOS PAC ID: 3072979293 Enrollment ID: I20230516002983 |
| Provider Name | Lymy Beth Dela Fuente Toenies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326742396 PECOS PAC ID: 1557727575 Enrollment ID: I20230517003062 |
| Provider Name | Jacqueline Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255643615 PECOS PAC ID: 1052672888 Enrollment ID: I20230525002682 |
| Provider Name | Ricardo Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396366746 PECOS PAC ID: 6406278381 Enrollment ID: I20230901001185 |
| Provider Name | Paula Durst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932547338 PECOS PAC ID: 0749424042 Enrollment ID: I20230906002085 |
| Provider Name | Dionne Cozier Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104186006 PECOS PAC ID: 1052678836 Enrollment ID: I20231212003142 |
| Provider Name | Andrea Batshon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336769157 PECOS PAC ID: 0840645750 Enrollment ID: I20231212003172 |
| Provider Name | Patricia Abigail Caballero |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1235702002 PECOS PAC ID: 0244628386 Enrollment ID: I20240103004700 |
| Provider Name | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811922016 PECOS PAC ID: 1951359975 Enrollment ID: I20240112001691 |
| Provider Name | Tiffany Renee Mihelish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720597958 PECOS PAC ID: 7810340429 Enrollment ID: I20240131001178 |
| Provider Name | Frank B Bejarano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932176450 PECOS PAC ID: 1557546579 Enrollment ID: I20240131004004 |
| Provider Name | Kimberly Kuncl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508850173 PECOS PAC ID: 7012196116 Enrollment ID: I20240221003796 |
| Provider Name | Rebecca Robles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932829918 PECOS PAC ID: 6608211594 Enrollment ID: I20240301001411 |
| Provider Name | Shalonda Mcadams Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801586672 PECOS PAC ID: 7113363821 Enrollment ID: I20240315001360 |
Community Health Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Blvd Del Rey David, Nogales, AZ 85621 Phone: 520-394-7400 Fax: 520-377-9596 | |
Arizona's Children Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 N State Dr, Ste. 6, Nogales, AZ 85621 Phone: 602-234-3733 Fax: 602-234-1252 | |
Construyendo Circulos De Paz, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1859 N Grand Ave, Suites 3 & 4, Nogales, AZ 85621 Phone: 520-281-0579 Fax: 520-281-0493 | |
Bejarano Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 N Mastick Way, Suite D, Nogales, AZ 85621 Phone: 520-313-3476 Fax: 520-377-8279 | |
None Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 N Mastick Way, Suite A, Nogales, AZ 85621 Phone: 520-281-0009 Fax: 520-281-0009 | |
Real Talk Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 N Grand Ave Ste 2, Nogales, AZ 85621 Phone: 520-341-3636 Fax: 520-341-3635 | |
Nogales Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 West View Point Drive, Nogales, AZ 85621 Phone: 520-281-0678 Fax: 520-281-0772 |