Organization
MARANA HEALTH CENTER, INC
Active
Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER, INC
Other names
Freedom Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER, INC
Authorized official
CLINTON KUNTZ (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
5000 E 29TH ST, TUCSON, AZ 85711-6401
(520) 790-8500
(520) 790-8505
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
AHCCCS GROUP NUMBER
AZ
05
—
417356
—
AZ
Enumeration date
12/06/2006
Last updated
02/20/2014
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