NPIMap

Organization Active NPI

United Community Health Center - Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
National Provider Identifier
1609057223
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 Ave
Green Valley, AZ 85614-0503
Phone
(520) 407-5606
Fax
(520) 625-8504
NPI assigned
Nov 26, 2007
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, MBA
Title
Chief Executive Officer
Phone
(520) 407-5609

Specialties & licenses 2

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

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20080122000224 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4587634472 Practice locations: Green Valley, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609057223. Details of each certification follow.

Federally qualified health center certification: CCN 031866

Legal name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
Doing business as
FREEPORT MCMORAN COPPER & GOLD BUILDING
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 29, 2008
Last certification
Feb 29, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1983 in AZ
Enrollment address
1260 S Campbell Rd BLDG 2
Green Valley, AZ 85714-0503

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
Tax ID family
Arivaca Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4475 S I 19 Frontage Rd
Ste 139
Green Valley, AZ 85614
Phone (520) 407-5600

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jon C Reardon Individual Corporate OfficerCfo Jul 30, 2024
W-2 Managing EmployeeCfo Jul 30, 2024
Operational/Managerial ControlCfo Jul 30, 2024
David Dixon Individual Corporate OfficerDirector of Accounting & Finance Nov 4, 2024
W-2 Managing EmployeeDirector of Accounting & Finance Nov 4, 2024
Operational/Managerial ControlDirector of Accounting & Finance Nov 4, 2024
William Praust Individual Corporate DirectorBoard Member Feb 24, 2004
Audrey Reida Individual Corporate DirectorBoard Member Apr 23, 2002
Ellen Rigli Individual Corporate DirectorBoard Member Sep 4, 2007
Mary Ann Dobson Individual Corporate DirectorBoard Member Apr 15, 2022
Kimberlee McNew Individual Corporate OfficerCoo May 12, 2025
W-2 Managing EmployeeCoo May 12, 2025
Operational/Managerial ControlCoo May 12, 2025
Mary Esparza Individual Corporate DirectorBoard Member Jan 6, 2015
Anne Gresham Individual Corporate DirectorBoard Member Apr 1, 2022
Carlos Valle Individual Corporate DirectorBoard Member Apr 1, 2025
Anna Tometczak Individual Corporate DirectorBoard Member Jan 5, 2023
Rosa Alvarez Individual Corporate DirectorBoard Member Apr 1, 2023
Manny Villa Individual Corporate DirectorBoard Member Apr 1, 2025
Debbie Andrus Individual Corporate DirectorBoard Member Mar 1, 2022
Steve Knode Individual Corporate DirectorBoard Member Apr 1, 2025
Peggy Runyon Individual Corporate DirectorBoard Member Apr 7, 2024
Tamara Marie Olson Individual Corporate OfficerCfo Sep 9, 2024
W-2 Managing EmployeeCfo Sep 9, 2024
Operational/Managerial ControlCfo Sep 9, 2024

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1609057223",
    "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": "520-407-5606",
            "fax_number": "520-625-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S. CAMPBELL AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5606",
            "fax_number": "520-625-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "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": "AZ",
            "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.