MARANA TEEN WELLNESS CENTER (NPI# 1104143411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104143411 |
| Entity Type | Organization |
| Organization Name | MARANA TEEN WELLNESS CENTER |
| Practice Address |
12000 W Emigh Rd Tucson AZ 85743-9696 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206829128 |
| Practice Fax Number | 5206829136 |
| Mailing Telephone | 5206824560 |
| Mailing Fax Number | 5206824570 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | DD SANDE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5206824560 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARANA HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC0819 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003133067 | Marana Teen Wellness Center | Clinic/Center | 13644 N Sandario Rd, Marana, AZ 85653-8579 | 2010-04-29 |
| Street Address |
12000 W EMIGH RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85743-9696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447508361 | Mary G. Roepke | Student in an Organized Health Care Education/Training Program | 12000 W Emigh Rd, Tucson, AZ 85743-9696 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356857338 | Catherine Fisher | Massage Therapist | 7455 W Twin Peaks Rd Ste 111, Tucson, AZ 85743 | 2017-12-28 |
| 1497128995 | Cherie Kay Gaither | Registered Nurse | 3233 S. Pinal Vista, Tucson, AZ 85743 | 2015-11-05 |
| 1487939211 | Spanish Trail Pediatric Dental Partners, LLP | Dentist | 9565 E. 22nd Street Suite 143, Tucson, AZ 85743 | 2011-10-12 |
| 1174745319 | Hanna Phan | Pharmacist | 1295 North Martin Ave, Tucson, AZ 85743 | 2007-05-03 |
| 1912034695 | Carmen Ruiz Drummond | Psychiatry & Neurology | 8185 N Stonehill Dr, Tucson, AZ 85743 | 2007-02-28 |
| 1356492193 | Diane E. Carrillo | Physical Therapist | 7759 N Silverbell Rd Apt 10105, Tucson, AZ 85743 | 2007-01-16 |
| 1174696496 | Nationwide Vision Center, LLC | Technician/Technologist | 5960 West Pavillions Drive, Suite 130, Tucson, AZ 85743 | 2006-11-16 |
| 1205921202 | Foothills Sports Medicine & Rehabilitation- Tucson, Inc | Physical Therapist | 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 | 2006-10-04 |
| 1679682900 | Northwest Medical Center Ct Mri At Marana LLC | Clinic/Center | 8333 N Silverbell, Suite 121, Marana, AZ 85743 | 2006-08-30 |
| 1508875923 | Brian James Midei | Dentist | 8295 N Cortaro Road, Suite 137, Tucson, AZ 85743 | 2006-08-05 |
| Find all providers in zip 85743 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1528462173 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1701 W Saint Marys Rd # 140160, Tucson, AZ 85745-2621 | 2014-10-10 |
| 1710277660 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1900 E Summit St, Tucson, AZ 85756-9127 | 2011-04-12 |
| 1447540380 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 5101 S Liberty Ave, Tucson, AZ 85706-1331 | 2011-04-12 |
| 1104116029 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 101 W Irvington Rd Bldg 3-c, Tucson, AZ 85714-3050 | 2011-04-12 |
| 1821324948 | Marana Health Center, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2009-10-23 |
| 1255518528 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 5979 E Grant Rd #107, Tucson, AZ 85712-2368 | 2008-01-29 |
| 1881875409 | United Community Health Center Maria Auxiliadora, Inc. | Clinic/Center | 16350 Ajo Way, Tucson, AZ 85736 | 2007-11-26 |
| 1760663389 | United Community Health Center Maria Auxiliadora, Inc. | Clinic/Center | 9875 South Sasabe Rd, Tucson, AZ 85736-2126 | 2007-11-26 |
| 1376603837 | Marana Health Center, Inc | Clinic/Center | 435 E Glenn St, Tucson, AZ 85705-4664 | 2006-12-12 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.