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
5224 W DOVE CENTRE RD
MARANA, AZ85658-5063
Phone: 520-616-1445
Fax: 520-616-1446
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health (Including Community Mental Health Center) 261QM0801X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for MARANA HEALTH CENTER, INC

NPI Number 1417403007
Legal business name
LBN
MARANA HEALTH CENTER, INC
Authorized official JOSHUA CARZOLI - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/01/2016
Last updated 05/06/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC7878
  • AZ Medicaid: 210156
  • AZ Other: 329592 GROUP MEDICAID

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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