Organization
MARANA HEALTH CENTER, INC
Active
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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