Organization
MARANA HEALTH CENTER, INC
Active
Parent organization
MARANA HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARANA HEALTH CENTER, INC.
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
8181 E IRVINGTON RD, TUCSON, AZ 85709-4001
(520) 574-1551
(520) 574-0783
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 574-1551
(520) 574-0783
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC4723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
AHCCCS GROUP NUMBER
AZ
05
—
928978
—
AZ
Enumeration date
10/23/2009
Last updated
05/06/2024
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