Organization Active NPI

Marana Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1982917175
Registry record updated Oct 8, 2010
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
1346 N Stone Ave
Tucson, AZ 85705-7338
Phone
(520) 616-4944
Fax
(520) 616-4943
NPI assigned
Jul 16, 2010
Organization subpart
Yes
Parent organization
MARANA HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
DD Sande
Title
Credentialing Specialist
Phone
(520) 682-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OTC4723 AZ Primary

Addresses

Primary practice location

1346 N Stone Ave
Tucson, AZ 85705-7338

Mailing address

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

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1982917175",
    "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": "520-682-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 N STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057338",
            "telephone_number": "520-616-4944",
            "fax_number": "520-616-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARANA HEALTH CENTER INC",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SANDE",
        "authorized_official_first_name": "DD",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "520-682-4560"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": "OTC4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 8, 2010; 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.