MARANA HEALTH CENTER INC NPI 1689864597

NPI Information

NPI: 1689864597
Provider Name: MARANA HEALTH CENTER, INC

Doing Business As: MARANA HEALTH CENTER BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
13395 N MARANA MAIN ST BLDG B
MARANA, AZ
ZIP 85653
Phone: (520) 682-1091
Get Directions

MARANA HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Marana, AZ. MARANA HEALTH CENTER, INC NPI is 1689864597. The provider is registered as an organization entity type.
The provider Is Doing Business As Marana Health Center Behavioral Health.

The provider's business location address is:

13395 N MARANA MAIN ST BLDG B
MARANA, AZ
ZIP 85653-008
Phone: (520) 682-1091
Fax: (520) 682-4132

The provider's authorized official is Clinton Kuntz .
The authorized official title is Ceo and has the following contact phone number (520) 682-4111.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 1/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	OTC5709	ARIZONA	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	OTC5709	ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZWMBRV	MEDICARE PIN	ARIZONA
2	031919	MEDICARE OSCAR/CERTIFICATION	ARIZONA
3	329592	OTHER	ARIZONA	AHCCCS GROUP NUMBER
4	988881	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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