| NPI | 1013523539 |
|---|---|
| Other Name | MARIPOSA NOGALES WEST |
| Entity Type | Organization |
| Authorized Contact | DANIEL PREVOST Chief Executive Officer 520-761-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-01-11 |