NPIMap

Organization Active NPI

Marana Health Center, Inc

Doing business as MHC Integrated Care

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1306305909
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARANA HEALTH CENTER, INC
Doing business as
MHC Integrated Care
Practice address
2325 N Wyatt Dr
Tucson, AZ 85712-2121
Phone
(520) 616-1510
Fax
(520) 616-1511
NPI assigned
Mar 14, 2019
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Joshua B Carzoli, PHARMD
Title
Ceo
Phone
(520) 682-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2325 N Wyatt Dr
Tucson, AZ 85712-2121

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 616-1510

Other identifiers 1

IdentifierTypeStateIssuer
544426MedicaidAZ

Other names 1

  • MHC Integrated Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306305909. Details of each certification follow.

  • CCN 031985 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 031985

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MHC INTEGRATED CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 25, 2019
Last certification
Jun 25, 2019
Ownership / control type
For profit – corporation
Facility address
2325 North Wyatt Drive
Tucson, AZ 85712

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1306305909",
    "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": "520-616-1510",
            "fax_number": "520-616-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122121",
            "telephone_number": "520-616-1510",
            "fax_number": "520-616-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CARZOLI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-682-4111",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544426",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHC Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHC Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.