MARANA HEALTH CENTER, INC; NPI #1447263405

Contact Information

MARANA HEALTH CENTER, INC

13395 N MARANA MAIN ST
MARANA, AZ 85653-7008

Phone: 520-682-4111
Fax: 520-682-3817
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Addiction (Substance Use Disorder)	101YA0400X
Dental	261QD0000X
Dentist	122300000X
Dietitian, Registered	133V00000X	71	Registered Dietitian or Nutrition Professional
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Marriage & Family Therapist	106H00000X
Obstetrics & Gynecology	363LX0001X	50	Nurse Practitioner
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology
Pediatrics	208000000X	37	Physician/Pediatric Medicine
Pharmacist	183500000X
Psychiatry	2084P0800X	26	Physician/Psychiatry
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MARANA HEALTH CENTER, INC

NPI # 1447263405

LBN Legal business name MARANA HEALTH CENTER, INC

Authorized official JOSHUA CARZOLI - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2006

Last updated 01/07/2025 - More than a year 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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MARANA HEALTH CENTER, INC

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NPI Profile & details for MARANA HEALTH CENTER, INC

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