National Provider Identifier Database

MARANA HEALTH CENTER INC
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 HEALTH CENTER, INC
2202 W ANKLAM RD
TUCSON, AZ85709-0001
Phone: 520-616-6790
Fax: 520-622-0849
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for MARANA HEALTH CENTER, INC

NPI Number 1316104573
Legal business name
LBN
MARANA HEALTH CENTER, INC
Authorized official CLINTON KUNTZ - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/16/2008
Last updated 02/27/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OCT4381
  • AZ Medicaid: 928895
  • AZ Other: 329592 AHCCCS GROUP NUMBER

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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