Healthcare Provider Details

I. General information

NPI: 1508730920
Provider Name (Legal Business Name): UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18861 S LA CANADA DR
SAHUARITA AZ
85629-7990
US

IV. Provider business mailing address

1260 S CAMPBELL AVE BLDG 2
GREEN VALLEY AZ
85614-0502
US

V. Phone/Fax

Practice location:
  • Phone: 520-407-5400
  • Fax:
Mailing address:
  • Phone: 520-407-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JON CRAIG REARDON
Title or Position: CEO
Credential:
Phone: 520-407-5609