NPIMap

Organization Active NPI

Marana Health Center, Inc

Doing business as Marana Health Center Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Marana, AZ
National Provider Identifier
1689864597
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OTC5709 Issued in AZ
Legal business name
MARANA HEALTH CENTER, INC
Doing business as
Marana Health Center Behavioral Health
Practice address
13395 N Marana Main St BLDG B
Marana, AZ 85653-7008
Phone
(520) 682-1091
Fax
(520) 682-4132
NPI assigned
Jul 26, 2007
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARANA HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OTC5709 AZ Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC5709 AZ
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

13395 N Marana Main St BLDG B
Marana, AZ 85653-7008

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-1091

Other identifiers 2

IdentifierTypeStateIssuer
329592OtherAZAHCCCS GROUP NUMBER
988881MedicaidAZ

Other names 1

  • Marana Health Center Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908002468 AZ Part A Provider - Federally Qualified Health Center (FQHC) 2365348091 Practice locations: Marana, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689864597. Details of each certification follow.

Federally qualified health center certification: CCN 031919

Legal name
MARANA HEALTH CENTER INC
Doing business as
MARANA HEALTH CENTER BEHAVIORAL HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 8, 2014
Last certification
Aug 8, 2014
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
in AZ
Enrollment address
13395 N Marana Main St
BLDG B
Marana, AZ 85653-7008

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

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

Other organizations with this tax ID 41

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

View all 41

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward Sicurello Individual Corporate DirectorOfficer - Vice President Jul 10, 2023
John Decker Individual Corporate DirectorOfficer - President Nov 9, 2021
Celina Stude Individual Corporate DirectorOfficer - Secretary Nov 9, 2021
Joshua Carzoli Individual Corporate OfficerChief Executive Officer Jan 26, 2023 100%
Operational/Managerial ControlChief Executive Officer Jan 26, 2023 100%
Nathan Bolt Individual Corporate DirectorOfficer - Treasurer Sep 18, 2022
Anne Schmotzer Individual Corporate DirectorDirector - Board Member Jul 5, 2022
Charles Steven Sera Individual Corporate DirectorBoard of Directors Member Nov 9, 2021
Heidi Kurgat Individual Operational/Managerial ControlDirector of Compliance and Risk Mar 26, 2024
Janice L Truitt Individual Corporate DirectorBoard of Directors Member Nov 9, 2021
Tanisha Quenette Green Individual Corporate DirectorDirector - Board Member Apr 3, 2023
Craig Reck Individual Corporate DirectorBoard of Directors Member Nov 9, 2021
Charles Feller Lang Individual Corporate DirectorDirector - Board Member Jul 1, 2024

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1689864597",
    "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": "520-682-1091",
            "fax_number": "520-682-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST BLDG B",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-1091",
            "fax_number": "520-682-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARANA HEALTH CENTER INC",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "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": "AZ",
            "license": "OTC5709",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC5709",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP NUMBER",
            "identifier": "329592",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988881",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marana Health Center Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.