DESERT SENITA COMMUNITY HEALTH CENTER
NPI 1114037496
Clinic/Center - Federally Qualified Health Center (FQHC) in Ajo, AZ

Active since August 30, 2006CLIA 03D2228836 · Waiver
410 N MALACATE ST, AJO, AZ 85321(520) 387-5651(520) 387-5347 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Aug 13, 2025, Oct 11, 2024 (3 updates tracked since 2024).

About Desert Senita Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT SENITA COMMUNITY HEALTH CENTER (NPI 1114037496) is a healthcare organization registered as a federally qualified health center (fqhc) in Ajo, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Jennifer Ward, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114037496
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDESERT SENITA COMMUNITY HEALTH CENTER
Location Address410 N MALACATE STAjo, AZ 85321-2254
Mailing Address410 N Malacate StAjo, AZ 85321-2254 · (520) 387-5651 · Fax (520) 387-5347
Fax(520) 387-5347
Organization SubpartNo
Authorized OfficialJennifer WardCfo · (520) 387-5651
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1114037496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in AZ · OTC-0274
410 N MALACATE ST, Ajo, AZ 85321

Other Names 1

Doing Business AsDesert Senita Community Health Center

Other Identifiers 3

Medicaid155681AZ
OtherAZ0910930AZ · Bcbs
Medicaid913034AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Senita Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Desert Senita Community Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner9
Family Practice3
Dentist2
Clinical Psychologist1
General Practice1
Marriage and Family Therapist1
Physical Therapist in Private Practice1
Psychiatry1

Clinicians, nearest first (19)

Psychiatry
NPI 1740222025
410 N MALACATE ST
Ajo, AZ 85321
(520) 387-5651
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871642082
410 N MALACATE ST STE 100
Ajo, AZ 85321
(520) 387-5651
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1720063282
410 N MALACATE ST
Ajo, AZ 85321
(520) 387-5651
✔ Accepts MedicareSame address
Dentist
NPI 1245258748
410 N MALACATE ST BLDG B DESERT SENITA DENTAL CENTER
Ajo, AZ 85321
(520) 387-4500
✔ PECOSSame address
Nurse Practitioner
NPI 1598432585
410 N MALACATE ST
Ajo, AZ 85321
(520) 387-5651
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588136998
410 N MALACATE ST
Ajo, AZ 85321
(520) 387-5651
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225862402
14574 S SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare74 mi
Clinical Psychologist
NPI 1265000384
14574 S SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1821286915
14574 S SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1588975452
14574 SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1366006199
449 E SILVER REEF RD
Casa Grande, AZ 85122
(520) 450-9155
✔ PECOS74 mi
Nurse Practitioner
NPI 1477053338
17487 S HEALTHCARE DR
Laveen, AZ 85339
(520) 550-6000
✔ PECOS✔ Accepts Medicare75 mi
General Practice
NPI 1821385592
4653 S LAKESHORE DR STE 3
Tempe, AZ 85282
(480) 456-8981
✔ PECOS88 mi
Marriage and Family Therapist
NPI 1538751771
235 S EL DORADO CIR
Mesa, AZ 85202
(480) 968-2995
✔ PECOS91 mi
Nurse Practitioner
NPI 1437753753
15351 W BELL RD
Surprise, AZ 85374
(480) 964-2273
✔ PECOS✔ Accepts Medicare91 mi
Dentist
NPI 1609560176
40930 N IRONWOOD DR STE 109
Queen Creek, AZ 85140
(480) 347-0753
✔ PECOS97 mi
Nurse Practitioner
NPI 1457922783
16701 N ORACLE RD STE 135
Tucson, AZ 85739
(520) 825-6763
✔ PECOS✔ Accepts Medicare114 mi
Family Practice
NPI 1497949226
23 S MCNAB PKWY
San Manuel, AZ 85631
(520) 385-2234
✔ PECOS✔ Accepts Medicare132 mi
Nurse Practitioner
NPI 1417956848
5920 PAN AMERICAN BLVD STE 203
North Port, FL 34287
(941) 525-9000
✔ PECOS1,871 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2228836

Desert Senita Community Health Center · Ajo, AZ
Active · expires Jun 30, 2027
CLIA Number03D2228836
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorBoriana Nikolova
Laboratory Phone(520) 387-5651
Laboratory LocationDesert Senita Community Health Center410 N Malacate St, Ajo, AZ 85321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Senita Community Health Center's NPI number?

The NPI number for Desert Senita Community Health Center is 1114037496. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Desert Senita Community Health Center located?

Desert Senita Community Health Center is located at 410 N Malacate St, Ajo, AZ 85321. The listed phone number is (520) 387-5651.

What is Desert Senita Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Desert Senita Community Health Center enrolled in Medicare?

Yes. Desert Senita Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Senita Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 8 Medicare specialties reassign their Medicare billing to Desert Senita Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (3) and Dentist (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Senita Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2228836) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Senita Community Health Center accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and DentaQuest Insurance Company, Inc. and 2 other insurers list Desert Senita Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desert Senita Community Health Center was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.