NPIMap

Organization Active NPI

Marana Health Center, Inc

Doing business as Marana Health Center Behaioral Health

  • Community/Behavioral Health Agency
  • Marana, AZ
National Provider Identifier
1053525337
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC-0032 Issued in AZ
Legal business name
MARANA HEALTH CENTER, INC
Doing business as
Marana Health Center Behaioral Health
Practice address
13644 N Sandario Rd
Marana, AZ 85653-8579
Phone
(520) 682-4560
Fax
(520) 682-3299
NPI assigned
May 9, 2007
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MARANA HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clarence Vatne
Title
Executive Director
Phone
(520) 682-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC-0032 AZ Primary

Addresses

Primary practice location

13644 N Sandario Rd
Marana, AZ 85653-8579

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4560

Other identifiers 2

IdentifierTypeStateIssuer
329592OtherAZAHCCCS GROUP NUMBER
060153MedicaidAZ

Other names 1

  • Marana Health Center Behaioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marana Health Clinic42 organizations share this tax ID, including this one
Part of
Marana Health Clinic

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1053525337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4560",
            "fax_number": "520-682-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13644 N SANDARIO RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538579",
            "telephone_number": "520-682-4560",
            "fax_number": "520-682-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARANA HEALTH CENTER INC",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "VATNE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-682-4560"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC-0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP NUMBER",
            "identifier": "329592",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060153",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marana Health Center Behaioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.