Mariposa Community Health Center Inc

A Medicare group practice based in Nogales, AZ: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 8123926326), with 62 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123926326The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
AZ
Enrollments
9
Group size
34 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 4 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031226000065 AZ Part B Supplier - Clinic/Group Practice 1417985474
O20100426000401 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1013213404
O20100423000507 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1104122563
O20100617000415 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1003837618
O20100211000670 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1417985474
O20160907003082 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1578922787
O20240129003562 AZ Part B Supplier - Pharmacy 1497738017
O20260107000730 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1487537445
O20201204001074 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1013523539

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 62

Clinicians who reassign their Medicare benefits to this group (58) or whom Care Compare lists as members (34).

Sources for this page