NPIMap

Organization Active NPI

United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
National Provider Identifier
1972968360
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
6491 Issued in AZ
Legal business name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
Practice address
4475 S I 19 Frontage Rd
Green Valley, AZ 85614-5884
Phone
(520) 407-5606
Fax
(520) 625-8504
NPI assigned
Dec 29, 2015
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED COMMUNITY HEALTH CENTERAs reported in NPPES

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 6491 AZ Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

4475 S I 19 Frontage Rd
Green Valley, AZ 85614-5884

Mailing address

1260 S Campbell Ave
BLDG. 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
O20160609001578 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 1972968360. Details of each certification follow.

Federally qualified health center certification: CCN 031936

Legal name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
Doing business as
UNITED COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 20, 2016
Last certification
Apr 20, 2016
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Feb 12, 1981 in AZ
Enrollment address
4475 S I 19 Frontage Rd
Ste 139
Green Valley, AZ 85614-5884

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
Part of
Arivaca Clinic

Other organizations with this tax ID 10

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

Locations

18857 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5800

55 Fruit St
Ste 6900
Boston, MA 02114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20248/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 10

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 Apr 1, 2004
Guadalupe Aguirre Individual Corporate OfficerBoard Member Apr 1, 2007
William Praust Individual Corporate DirectorBoard Member Apr 1, 2004
Rodolfo Jimenez Individual Corporate OfficerChief Executive Officer Jan 28, 2015
W-2 Managing EmployeeChief Executive Officer Jan 28, 2015
Operational/Managerial ControlChief Executive Officer Jan 28, 2015
Audrey Reida Individual Corporate OfficerBoard Member Apr 1, 2002
Lucretia Free Individual Corporate DirectorBoard Member Aug 4, 2015
Ellen Rigli Individual Corporate OfficerBoard Member Apr 1, 1997
Margarita Salcido Individual Corporate DirectorBoard Member Apr 1, 2002
United Community Health Center-Maria Auxiliadora, Inc Organization, Green Valley, AZ Corporation, Non-profit Other Dec 23, 2015 100%
Wendy Kibby Individual Corporate OfficerChief Operations Officer Jan 26, 2015
W-2 Managing EmployeeChief Operations Officer Jan 26, 2015

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1972968360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "address_2": "BLDG. 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": "4475 S I 19 FRONTAGE RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145884",
            "telephone_number": "520-407-5606",
            "fax_number": "520-625-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED COMMUNITY HEALTH CENTER",
        "enumeration_date": "2015-12-29",
        "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": "6491",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.