Organization
MARANA HEALTH CENTER, INC
Active
Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER, INC.
Other names
Rita Ranch Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER, INC.
Authorized official
DD SANDE (CREDENTIALING SPECIALIST)
(520) 682-4560
Entity
Organization
Contact information
Practice address
8045 S RITA RD, TUCSON, AZ 85747-9018
(520) 682-4560
(520) 682-4570
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060153
—
AZ
01
—
329592
AHCCCS GROUP NUMBER
AZ
Enumeration date
12/06/2006
Last updated
12/16/2009
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