Organization
MARANA HEALTH CENTER, INC
Active
Organization
MARANA HEALTH CENTER, INC
Active
Other names
MHC Westside Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
1707 W. SAINT MARYS RD, STE 175, TUCSON, AZ 85745
(520) 616-6790
(520) 622-0849
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-6790
(520) 622-0849
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090349
—
AZ
Enumeration date
01/05/2021
Last updated
05/06/2024
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