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Organization

MARANA HEALTH CENTER INC

Active
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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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