National Provider Identifier Database

MARANA TEEN WELLNESS CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MARANA TEEN WELLNESS CENTER
13644 N SANDARIO RD
MARANA, AZ85653-8579
Phone: 520-682-4730
Fax: 520-682-4790
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for MARANA TEEN WELLNESS CENTER

NPI Number 1003133067
Legal business name
LBN
MARANA TEEN WELLNESS CENTER
Authorized official DD SANDE - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 04/29/2010
Last updated 04/29/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC 0820

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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