MARANA HEALTH CENTER, INC (NPI# 1316104573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316104573 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER, INC |
| Other Organization Name | WEST SIDE HEALTH CENTER |
| Practice Address |
2202 W Anklam Rd Tucson AZ 85709-0001 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206166790 |
| Practice Fax Number | 5206220849 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MR. CLINTON KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Authorized Official Credential | CEO |
| 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) |
OCT4381 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 928895 | 05 | |
| AZ | AHCCCS GROUP NUMBER | 329592 | 01 |
| Other Name | Type Code |
|---|---|
| West Side 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 |
2202 W ANKLAM RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85709-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568515708 | Scott D Horton | Specialist | 2202 W Anklam Rd, Tucson, AZ 85709-0005 | 2007-01-19 |
| 1437501749 | Anna Marie Aparicio | Nurse Practitioner | 2202 W Anklam Rd, Tucson, AZ 85709-0001 | 2016-07-11 |
| 1508066689 | April Deann Jessee | Specialist/Technologist | 2202 W Anklam Rd, Tucson, AZ 85709-0001 | 2007-07-18 |
| 1285762682 | Franklin P Brown | Nurse Practitioner | 2202 W Anklam Rd, Tucson, AZ 85709-0001 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985706 | Benjamin Carbajal | Specialist/Technologist | 2202 West Anklam Road, Tucson, AZ 85709-0005 | 2006-06-28 |
| 1598739310 | Akira Kondo | Specialist/Technologist | Pima Community College, 2202 W Anklam Rd, Tucson, AZ 85709-0285 | 2006-02-16 |
| 1376065060 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 401 N Bonita Ave, Tucson, AZ 85709-1712 | 2017-07-13 |
| 1104353929 | Oswald Hakorinama | Nurse Practitioner | 8181 E Irvington Rd, Tucson, AZ 85709-2374 | 2017-05-11 |
| 1821324948 | Marana Health Center, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2009-10-23 |
| 1114301157 | Marana Health Care, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2015-07-18 |
| 1861042012 | Intermountain Centers for Human Development | Clinic/Center | 401 N Bonita Ave, Tucson, AZ 85709-5001 | 2019-09-18 |
| 1023406048 | Deirdre Treanor | Nurse Practitioner | 8181 E Irvington Rd, Tucson, AZ 85709-5876 | 2014-12-29 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.