| United Community Health Center - Maria Auxiliadora, Inc. | |
|
17388 W 3rd Street Arivaca AZ 85601 | |
| (520) 407-5500 | |
| (520) 407-5990 |
| Full Name | United Community Health Center - Maria Auxiliadora, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 17388 W 3rd Street, Arivaca, 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. 17388 W 3rd Street Arivaca AZ 85601 Ph: (520) 407-5500 |
| NPI Number | 1922050319 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 4587634472 |
|---|---|
| Medicare Enrollment ID | O20040728001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922050319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |