MARANA HEALTH CENTER, INC (NPI# 1417403007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417403007 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER, INC |
| Other Organization Name | DOVE MOUNTAIN HEALTH CENTER |
| Practice Address |
5224 W Dove Centre Rd Marana AZ 85658-5063 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206161445 |
| Practice Fax Number | 5206161446 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MR. CLINT KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC7878 | AZ | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OTC7878 | AZ | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC7878 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 210156 | 05 | |
| AZ | GROUP MEDICAID | 329592 | 01 |
| Other Name | Type Code |
|---|---|
| Dove Mountain 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 |
5224 W DOVE CENTRE RD |
| City | MARANA |
| State | AZ |
| Zip Code | 85658-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093759615 | Adolben Y Montesclaros | Emergency Medicine | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2006-06-15 |
| 1235659798 | Erick James Medina Loveres | Nurse Practitioner | 5224 W Dove Centre Rd, Marana, AZ 85658-5063 | 2017-06-26 |
| 1497206767 | Marana Health Center, Inc | Clinic/Center | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2016-10-20 |
| 1851773881 | Rui Wen Pang | Internal Medicine | 5224 W Dove Centre Rd, Marana, AZ 85658-5063 | 2015-06-26 |
| 1083876064 | Estela Rutiaga | Family Medicine | 5224 W Dove Centre Rd, Marana, AZ 85658 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628908 | Melinda H Connor | Counselor | 31907 South Davis Ranch Rd, Marana, AZ 85658 | 2020-04-20 |
| 1285120352 | Akdhc Surgery Center, LLC | Clinic/Center | 3600 W Tangerine Rd, Suite 100, Marana, AZ 85658 | 2018-07-02 |
| 1902392079 | Akdhc,llc | Internal Medicine | 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 | 2018-07-02 |
| 1215452339 | Judith Jones | Speech-Language Pathologist | 11411 N. Vista Ranch Pl, Marana, AZ 85658 | 2017-08-09 |
| 1821308594 | Diana J Marr | Respite Care | 35020 E Red I Ranch Road, Marana, AZ 85658 | 2010-10-15 |
| 1942531868 | Justin Clark | Pharmacist | 12050 N Dove Mt Blvd, Marana, AZ 85658 | 2010-01-15 |
| 1821536897 | Erica Lynne Hede | Nurse Practitioner | 3630 W Tangerine Rd Ste 100, Marana, AZ 85658 | 2017-02-09 |
| 1265632913 | Hridaya Premnath Iyer | Anesthesiology | 3601 S 6th Ave, Savahcs Dept. of Anesthesiology, Tucson, AZ 85658 | 2007-07-20 |
| 1376177410 | Jo Ann Chavez | Technician | 13561 N Sandra Rd, Marana, AZ 85658-4132 | 2020-02-27 |
| 1962956219 | Lindle Celaya | General Practice | 6000 W Sunshine Ln, Marana, AZ 85658-4133 | 2016-08-04 |
| Find all providers in zip 85658 | ||||
| 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 |
|---|---|---|---|---|
| 1003133067 | Marana Teen Wellness Center | Clinic/Center | 13644 N Sandario Rd, Marana, AZ 85653-8579 | 2010-04-29 |
| 1164526471 | Marana Health Center Inc | Clinic/Center | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-09-08 |
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| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
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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.