MARANA HEALTH CENTER, INC (NPI# 1407915630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407915630 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER, INC |
| Other Organization Name | NORTHWEST OFFICE |
| Practice Address |
2055 W Hospital Dr Suite # 115 Tucson AZ 85704-7892 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5207970011 |
| Practice Fax Number | 5207977550 |
| 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 | 417802 | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Office | 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 |
2055 W HOSPITAL DR SUITE # 115 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-7892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119421 | Kimberly Ann Eckley | Nurse Practitioner | 2055 W Hospital Dr, Suite 115, Tucson, AZ 85704-7892 | 2006-01-23 |
| 1114358918 | Karima Behavioral Health Center | Clinic/Center | 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704-7892 | 2013-12-03 |
| 1942637103 | Deborah Renee Locke | Physician Assistant | 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 | 2013-10-02 |
| 1568697282 | Abundant Health Family Practice | Nurse Practitioner | 2055 W Hospital Dr, Suite 295, Tucson, AZ 85704-7892 | 2009-05-26 |
| 1346495892 | Elias S Kakish | Internal Medicine | 2055 W Hospital Dr, Ste 205, Tucson, AZ 85704-7892 | 2008-11-25 |
| 1366630683 | Fadi Adra | Internal Medicine | 2055 W Hospital Dr, Ste. 205, Tucson, AZ 85704-7892 | 2007-10-11 |
| 1518084581 | Seema K Patel Md | Specialist | 2055 W Hospital Dr, Suite 175, Tucson, AZ 85704-7892 | 2007-03-23 |
| 1073647251 | Elizabeth E Wack Md PC | Specialist | 2055 W Hospital Dr, Suite 175, Tucson, AZ 85704 | 2007-03-16 |
| 1780714477 | Rachel Elizabeth Gordon | Nurse Practitioner | 2055 W Hospital Dr, Suite 295, Tucson, AZ 85704-7892 | 2007-03-06 |
| 1003912734 | Rachel Hackl | Advanced Practice Midwife | 2055 W Hospital Dr, Suite 115, Tucson, AZ 85704-7892 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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 |
| Find all providers in TUCSON | ||||
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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.