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Organization
MARANA HEALTH CENTER, INC
Active
Organization
MARANA HEALTH CENTER, INC
Active
Other names
Wilmot Family Health Center, Wilmot Family Health Center BH
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
899 N WILMOT RD STE B, TUCSON, AZ 85711-1712
(520) 290-1100
(520) 290-8997
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 290-1100
(520) 290-8997
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC5399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914089
—
AZ
Enumeration date
09/22/2015
Last updated
12/16/2025
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