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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for MARANA HEALTH CENTER, INC

NPI Number 1417403007
LBN Legal business name MARANA HEALTH CENTER, INC
Authorized official JOSHUA CARZOLI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2016
Last updated 05/06/2024 - About 2 years ago
Identifiers
AZ License # OTC7878
AZ Medicaid 210156
AZ Other 329592 GROUP MEDICAID
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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