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
DD SANDE (CREDENTIALING SPECIALIST)
(520) 682-4560
Entity
Organization
Contact information
Practice address
1346 N STONE AVE, TUCSON, AZ 85705-7338
(520) 616-4944
(520) 616-4943
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC4723
AZ
Other
Enumeration date
07/16/2010
Last updated
10/08/2010
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