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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