United Community Health Center-Maria Auxiliadora, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Arivaca, AZ
NPI 1922050319 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1922050319
- 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
- 17388 W 3Rd Street
Arivaca, AZ 85601 - Phone
- (520) 407-5500
- Fax
- (520) 407-5990
- NPI assigned
- May 16, 2006
- Reactivated
- Jun 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Jon Reardon, MSW, MBA
- Title
- Chief Executive Officer
- Phone
- (520) 407-5609
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
Practitioners 27
-
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
-
Donald R Smith, MD
-
John Ryan Sparks, PMHNP
-
Charles William Swetnam, M.D.
-
Rebeccah Lindsey Tovar, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Federally qualified health center certification: CCN 031804
- Legal name
- UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
- 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
- Other · Non-profit
- Incorporated
- Feb 1, 1983 in AZ
- Enrollment address
- 17388 W Third St
Arivaca, AZ 85601-0233
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Rodney Lichtenberger |
Corporate Director |
Feb 24, 2004 | |
| William Praust |
Corporate Director |
Feb 24, 2004 | |
| Audrey Reida |
Corporate Director |
Apr 23, 2002 | |
| Brenda J Parnell |
Corporate Officer |
Dec 13, 2022 | |
| Operational/Managerial Control |
Dec 13, 2022 | ||
| Ellen Rigli |
Corporate Director |
Sep 4, 2007 | |
| Margarita Salcido |
Corporate Director |
Apr 23, 2002 | |
| Mary Ann Dobson |
Corporate Director |
Dec 1, 2017 | |
| Mary Esparza |
Corporate Director |
Jan 6, 2015 | |
| Anne Gresham |
Corporate Director |
Apr 1, 2022 | |
| Claudette Pippin |
Corporate Officer |
Oct 22, 2022 | |
| Debbie Andrus |
Corporate Director |
Mar 1, 2022 |
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 |
|---|---|---|---|---|
| O20040728001592 | AZ | Part a Provider - Federally Qualified Health Center (FQHC) | 4587634472 | Practice locations: Arivaca, AZ |
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
17388 W 3Rd Street
Arivaca, AZ 85601
Mailing address
1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503
Phone (520) 407-5606
Other providers in Arivaca, AZ
- Arivaca Ranch LLC
- Bird Is the Word LLC
- Daniel Granthan
- Evan Laughlin
- Southwestern University and Global College
All providers in Arivaca, 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.