NPIMap

Organization Active NPI

United Community Health Center - Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
National Provider Identifier
1093766867
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.
Practice address
1260 S. Campbell Avenue
Green Valley, AZ 85614-0503
Phone
(520) 407-5606
Fax
(520) 625-2894
NPI assigned
May 15, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon Reardon, MSW, MBANPI 1437306362
Title
Chief Executive Officer
Phone
(520) 407-5609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1260 S. Campbell Avenue
Green Valley, AZ 85614-0503

Mailing address

1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503
Phone (520) 407-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040729000241 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4587634472 Practice locations: Green Valley, AZ
O20040930000548 AZ Part B Supplier - Clinic/Group Practice 4587634472 Receives reassigned benefits from 38 practitioners
16 other NPIs on this enrollment
Practice locations: Arivaca, AZ; Vail, AZ; Tucson, AZ; Sahuarita, AZ; Green Valley, AZ; Amado, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093766867. Details of each certification follow.

Federally qualified health center certification: CCN 031802

Legal name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
Doing business as
CONTINENTAL SCHOOL WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1983 in AZ
Enrollment address
1260 S Campbell Ave
BLDG 1
Green Valley, AZ 85614-0504

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Bldg 1
Green Valley, AZ 85614
Phone (520) 407-5400

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rodney Lichtenberger Individual Corporate OfficerBoard Member Feb 24, 2004
Corporate DirectorBoard Member Feb 24, 2004
Guadalupe Aguirre Individual Corporate OfficerBoard Member Apr 3, 2007
Corporate DirectorBoard Member Apr 3, 2007
William Praust Individual Corporate OfficerBoard Member Feb 24, 2004
Corporate DirectorBoard Member Feb 24, 2004
Rodolfo Jimenez Individual Corporate OfficerChief Medical Officer Jan 2, 2007
W-2 Managing EmployeeChief Medical Officer Feb 19, 2013
Audrey Reida Individual Corporate OfficerBoard Member Apr 23, 2002
Corporate DirectorBoard Member Apr 23, 2002
Brenda J Parnell Individual Corporate OfficerCfo Dec 13, 2022
Ellen Rigli Individual Corporate OfficerBoard Member Sep 4, 2007
Corporate DirectorBoard Member Sep 4, 2007
Margarita Salcido Individual Corporate Officer Apr 23, 2002
Corporate DirectorBoard Member Apr 23, 2002

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Three Points ClinicTucson, AZ, CCN 031803 Federally qualified health center Operational/Managerial Control Jan 1, 2004
United Community Health CenterGreen Valley, AZ, CCN 031936 Federally qualified health center Other (100%) Dec 23, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1093766867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "address_2": "BUILDING 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5600",
            "fax_number": "520-625-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S. CAMPBELL AVENUE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5606",
            "fax_number": "520-625-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-06-20",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-407-5609",
        "authorized_official_credential": "MSW, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.