MARANA HEALTH CENTER, INC (NPI# 1245399468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245399468 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER, INC |
| Other Organization Name | FLOWING WELLS FAMILY HEALTH CENTER |
| Practice Address |
1323 W Prince Rd Tucson AZ 85705-3114 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5208870800 |
| Practice Fax Number | 5208871393 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | CLINTON KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARANA HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS GROUP NUMBER | 329592 | 01 |
| AZ | 417786 | 05 |
| Other Name | Type Code |
|---|---|
| Flowing Wells Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821324948 | Marana Health Center, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2009-10-23 |
| 1689864597 | Marana Health Center, Inc | Clinic/Center | 13395 N Marana Main St Bldg B, Marana, AZ 85653-7008 | 2007-07-26 |
| 1376603837 | Marana Health Center, Inc | Clinic/Center | 435 E Glenn St, Tucson, AZ 85705-4664 | 2006-12-12 |
| 1477612786 | Marana Health Center, Inc | Clinic/Center | 3645 E Pima St, Tucson, AZ 85716-3320 | 2006-12-06 |
| 1023177250 | Marana Health Center, Inc | Clinic/Center | 5000 E 29th St, Tucson, AZ 85711-6401 | 2006-12-06 |
| 1053470294 | Marana Health Center, Inc | Clinic/Center | 8045 S Rita Rd, Tucson, AZ 85747-9018 | 2006-12-06 |
| 1659430874 | Marana Health Center, Inc | Clinic/Center | 6750 E Stella Rd, Tucson, AZ 85730-2202 | 2006-12-06 |
| 1073072450 | Marana Health Center, Inc | Pharmacy | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-15 |
| 1306305909 | Marana Health Center, Inc | Clinic/Center | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-14 |
| 1710446331 | Marana Health Center, Inc | Clinic/Center | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-13 |
| Street Address |
1323 W PRINCE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974706 | Medgar Marcial Moya | Family Medicine | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2005-07-05 |
| 1295225241 | Megan Ann Munson | Registered Nurse | 1323 W Prince Rd, Tucson, AZ 85705 | 2018-05-15 |
| 1174974323 | Babitha Bijin | Internal Medicine | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2016-06-29 |
| 1154792810 | Fawn Zimmer | Nurse Practitioner | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2015-10-07 |
| 1225436074 | Judith Burchard | Social Worker | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2014-12-10 |
| 1124360573 | Donna C. Rowe | Nurse Practitioner | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2013-03-25 |
| 1679867675 | Paul M Powell | Nurse Practitioner | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2011-06-07 |
| 1255658126 | Connie Olson | Family Medicine | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2010-04-30 |
| 1437471778 | Nancy J Sullivan | Registered Nurse | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2010-02-26 |
| 1710904578 | Ronald Leroy Goedecke | Family Medicine | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2006-07-17 |
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|---|---|---|---|---|
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| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1528462173 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1701 W Saint Marys Rd # 140160, Tucson, AZ 85745-2621 | 2014-10-10 |
| 1710277660 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1900 E Summit St, Tucson, AZ 85756-9127 | 2011-04-12 |
| 1447540380 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 5101 S Liberty Ave, Tucson, AZ 85706-1331 | 2011-04-12 |
| 1104116029 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 101 W Irvington Rd Bldg 3-c, Tucson, AZ 85714-3050 | 2011-04-12 |
| 1104143411 | Marana Teen Wellness Center | Clinic/Center | 12000 W Emigh Rd, Tucson, AZ 85743-9696 | 2010-04-26 |
| 1821324948 | Marana Health Center, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2009-10-23 |
| 1255518528 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 5979 E Grant Rd #107, Tucson, AZ 85712-2368 | 2008-01-29 |
| 1881875409 | United Community Health Center Maria Auxiliadora, Inc. | Clinic/Center | 16350 Ajo Way, Tucson, AZ 85736 | 2007-11-26 |
| 1760663389 | United Community Health Center Maria Auxiliadora, Inc. | Clinic/Center | 9875 South Sasabe Rd, Tucson, AZ 85736-2126 | 2007-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.