Organization
MARANA HEALTH CENTER, INC
Active
Organization
MARANA HEALTH CENTER, INC
Active
Other names
Northwest OB/GYN, Northwest Office
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
2055 W HOSPITAL DR STE 115, TUCSON, AZ 85704-7823
(520) 797-0011
(520) 797-7550
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 797-0011
(520) 797-7550
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
AHCCCS GROUP NUMBER
AZ
05
—
928952
—
AZ
Enumeration date
12/06/2006
Last updated
05/06/2024
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