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
Organization subpart
Yes
Parent organization
UNITED COMMUNITY HEALTH CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
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.

Owners & managing parties with NPI records 11

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 16

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 10

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

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

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

Federally qualified health center certification: CCN 031936

Medicare enrollment files
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

All disclosed owners & managing parties 10

Medicare enrollment files

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

All facility ownership & control disclosures 1

Medicare enrollment files

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

Medicare enrollment records 2

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Tax ID family
Continental Clinic (11 organizations share this tax ID)
Part of
Continental Clinic

Locations

55 Fruit St
Ste 6900
Boston, MA 02114

Interoperability endpoints

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 6491 AZ Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2025.

{
    "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.