Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER, INC
Other names
Catalina Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER, INC
Authorized official
CLARENCE VATNE (CEO)
(520) 682-4560
Entity
Organization
Contact information
Practice address
3645 E PIMA ST, TUCSON, AZ 85716-3320
(520) 862-4560
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060153
—
AZ
01
—
329592
AHCCCS GROUP
AZ
Enumeration date
12/06/2006
Last updated
05/28/2008
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