Organization Active NPI

Marana Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1821324948
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OTC4723 Issued in AZ
Legal business name
MARANA HEALTH CENTER, INC
Practice address
8181 E Irvington Rd
Tucson, AZ 85709-4001
Phone
(520) 574-1551
Fax
(520) 574-0783
NPI assigned
Oct 23, 2009
Organization subpart
Yes
Parent organization
MARANA HEALTH CENTER, INC.As reported in NPPES

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 OTC4723 AZ Primary

Addresses

Primary practice location

8181 E Irvington Rd
Tucson, AZ 85709-4001

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 574-1551

Other identifiers 2

IdentifierTypeStateIssuer
329592OtherAZAHCCCS GROUP NUMBER
928978MedicaidAZ

National Provider Directory

National Provider Directory
Part of
Marana Health Center Inc

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1821324948",
    "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": "520-574-1551",
            "fax_number": "520-574-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 E IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857094001",
            "telephone_number": "520-574-1551",
            "fax_number": "520-574-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARANA HEALTH CENTER, INC.",
        "enumeration_date": "2009-10-23",
        "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": "AZ",
            "license": "OTC4723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP NUMBER",
            "identifier": "329592",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 6, 2024; 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.