Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER INC
Other names
Marana Health Center Behaioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER INC
Authorized official
CLARENCE VATNE (EXECUTIVE DIRECTOR)
(520) 682-4560
Entity
Organization
Contact information
Practice address
13644 N SANDARIO RD, MARANA, AZ 85653-8579
(520) 682-4560
(520) 682-3299
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-3299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC-0032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060153
—
AZ
01
—
329592
AHCCCS GROUP NUMBER
AZ
Enumeration date
05/09/2007
Last updated
05/28/2008
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