MARANA HEALTH CENTER, INC; NPI #1053470294

Contact Information

MARANA HEALTH CENTER, INC

8045 S RITA RD
TUCSON, AZ 85747-9018

Phone: 520-682-4560
Fax: 520-682-4570
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for MARANA HEALTH CENTER, INC

NPI # 1053470294

LBN Legal business name MARANA HEALTH CENTER, INC

Authorized official DD SANDE - (CREDENTIALING SPECIALIST)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/06/2006

Last updated 12/16/2009 - About 16 years ago

Identifiers

AZ	Medicaid	060153
AZ	Other	329592	AHCCCS GROUP NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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