United Community Health Center-Maria Auxiliadora, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Green Valley, AZ
NPI 1275715286 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1275715286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
- Practice address
- 1260 S Campbell Ave
Green Valley, AZ 85614-0503 - Phone
- (520) 407-5606
- Fax
- (520) 625-8504
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Jon Reardon, MSW, MBA
- Title
- Chief Executive Officer
- Phone
- (520) 407-5609
Owners & managing parties with NPI records 1
-
Jon Craig Reardon, LCSW
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 10
Practitioners 31
-
Donald R Smith, MD
-
Rebeccah Lindsey Tovar, FNP-BC
-
Samantha Kalyani Bassett, FNP-C
-
Jacqueline Gomez, NP
-
Melissa Amber Gummo, PMHNP-BC
-
Ashley N. Holton, FNP-C, PMHNP-BC
-
Lodz S Joseph-Lemon, CNM
-
Cora Shante King, FNP-BC
-
Lisa Heidi Kiser, CNM
-
Luis F Lozano, PA
-
Roberto Cota Noperi, LPC
-
Nancy Olvera, FNP
-
Jon Craig Reardon, LCSW
-
Greg James Reinhart, PA-C
-
Angela Marie Robbins, FNP
-
Kathleen Shemberger, FNP
-
Ki Alexandra Slusher, DNP, PMHNP-BC
-
John Ryan Sparks, PMHNP
-
Charles William Swetnam, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Federally qualified health center certification: CCN 031869
- Legal name
- UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
- Doing business as
- UCHC DENTAL FOR KIDS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 3, 2008
- Last certification
- Mar 3, 2008
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 1, 1983 in AZ
- Enrollment address
- 1260 S Campbell Ave
BLDG 1
Green Valley, AZ 85614-0504
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jon C Reardon |
Corporate Officer |
Jul 30, 2024 | |
| W-2 Managing Employee |
Jul 30, 2024 | ||
| David Dixon |
Corporate Officer |
Nov 4, 2024 | |
| W-2 Managing Employee |
Nov 4, 2024 | ||
| William Praust |
Corporate Director |
Feb 24, 2004 | |
| Audrey Reida |
Corporate Director |
Apr 23, 2002 | |
| Ellen Rigli |
Corporate Director |
Sep 4, 2007 | |
| Mary Ann Dobson |
Corporate Director |
Apr 15, 2022 | |
| Kimberlee McNew |
Corporate Director |
May 12, 2025 | |
| W-2 Managing Employee |
May 12, 2025 | ||
| Mary Esparza |
Corporate Director |
Jan 6, 2015 | |
| Anne Gresham |
Corporate Director |
Apr 1, 2022 | |
| Carlos Valle |
Corporate Director |
Apr 1, 2025 | |
| Anna Tometczak |
Corporate Director |
Jan 5, 2023 | |
| Rosa Alvarez |
Corporate Director |
Apr 1, 2023 | |
| Manny Villa |
Corporate Director |
Apr 1, 2025 | |
| Debbie Andrus |
Corporate Director |
Mar 1, 2022 | |
| Steve Knode |
Corporate Director |
Apr 1, 2025 | |
| Peggy Runyon |
Corporate Director |
Apr 7, 2024 | |
| Tamara Marie Olson |
Corporate Officer |
Sep 9, 2024 | |
| W-2 Managing Employee |
Sep 9, 2024 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Three Points Clinic |
Federally qualified health center | Operational/Managerial Control | Jan 1, 2004 |
| United Community Health Center |
Federally qualified health center | Other (100%) | Dec 23, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040930000548 | AZ | Part B Supplier - Clinic/Group Practice | 4587634472 |
Receives reassigned benefits from 38 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arivaca, AZ; Vail, AZ; Tucson, AZ; Sahuarita, AZ; Green Valley, AZ; Amado, AZ |
| O20080116000284 | AZ | Part a Provider - Federally Qualified Health Center (FQHC) | 4587634472 | Practice locations: Green Valley, AZ |
National Provider Directory
- Tax ID family
- Continental Clinic
Locations
18841 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | AZ | Yes |
Addresses
Primary practice location
1260 S Campbell Ave
Green Valley, AZ 85614-0503
Mailing address
1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503
Phone (520) 407-5606
Other practice location 1
18841 South La Canada Drive
Sahuarita, AZ 85629-7990
Phone (520) 407-5617
Other providers in Green Valley, AZ
- Andrea Tuijl
- Brooke Ricker Turnbull
- Ucc Tucson Holdings, LLC.
- United Community Health Center - Maria Auxiliadora, Inc.
- United Community Health Center - Maria Auxiliadora, Inc.
- United Community Health Center-Maria Auxiliadora, Inc.
- United Community Health Center-Maria Auxiliadora, Inc.
- United Community Health Center-Maria Auxiliadora, Inc.
- United Community Health Center-Maria Auxiliadora, Inc.
- Valerie Lou Gold-Neil
All providers in Green Valley, AZ · Federally Qualified Health Center (FQHC) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.