Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER
Other names
Wilmot Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER
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)
Primary
OTC5399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
AHCCCS GROUP NUMBER
AZ
05
—
929398
—
AZ
Enumeration date
10/02/2008
Last updated
05/06/2024
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