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CH090090 MARIPOSA COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
MARIPOSA COMMUNITY HEALTH CENTER, INC.
Subdivision Name
MARIPOSA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000176
340B ID
CH090090
Grant Number
H80CS00752
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mariposa Community Health Center
Amy Taylor, CEO
(520) 281-1550 Ext: 1007
Primary Contact
Mariposa Community Health Center
Michael Roland Castillo, Chief Pharmacy Officer
(520) 377-5417
Addresses
Street Address
1852 N Mastick Way
Nogales, AZ 85621-1063
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/24/12 - Information updated, AO and Contact person information.
04/24/2012
May 2025
May 2025
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