| NPI | 1578922787 |
|---|---|
| Other Name | MARIPOSA TUBAC REGIONAL HEALTH CENTER |
| 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 | 208000000X Pediatrics (Licence: AZ AP4918) |
| 208000000X Pediatrics (Licence: AZ 43414) | |
| 208D00000X General Practice (Licence: AZ AP4918) | |
| 208D00000X General Practice (Licence: AZ 43414) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP4918) | |
| 207Q00000X Family Medicine (Licence: AZ AP4918) | |
| 207Q00000X Family Medicine (Licence: AZ 43414) | |
| 207R00000X Internal Medicine (Licence: AZ 16163) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ AP4918) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 43414) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-01-17 |