Organization Active NPI

Marana Health Center, Inc

Doing business as Catalina Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1477612786
Registry record updated May 28, 2008
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
Catalina Health Center
Practice address
3645 E Pima St
Tucson, AZ 85716-3320
Phone
(520) 862-4560
Fax
(520) 682-3299
NPI assigned
Dec 6, 2006
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
Ceo
Phone
(520) 682-4560

Specialties & licenses 1

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

Addresses

Primary practice location

3645 E Pima St
Tucson, AZ 85716-3320

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
060153MedicaidAZ
329592OtherAZAHCCCS GROUP

Other names 1

  • Catalina Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Marana Health Center Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1477612786",
    "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": "3645 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163320",
            "telephone_number": "520-862-4560",
            "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": "2006-12-06",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "VATNE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-682-4560"
    },
    "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": "060153",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP",
            "identifier": "329592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalina Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, 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.