MARANA HEALTH CENTER (NPI# 1245609197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245609197 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER |
| Other Organization Name | MHC HEALTHCARE |
| Practice Address |
13395 N Marana Main St Bldg B Marana AZ 85653-7008 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206821091 |
| Practice Fax Number | 5206824132 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | CLINT KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC5709 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MHC Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061779 | Marana Health Center | Clinic/Center | 13644 N Sandario Rd, Marana, AZ 85653-8579 | 2006-09-11 |
| 1477650075 | Marana Health Center | Health Maintenance Organization | 13644 N Sandario Rd, Marana, AZ 85653-8579 | 2006-09-19 |
| Street Address |
13395 N MARANA MAIN ST BLDG B |
| City | MARANA |
| State | AZ |
| Zip Code | 85653-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964836 | Timothy Fitzgerald | Family Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-03-08 |
| 1013529684 | Jorydn Rippberger | Dental Hygienist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2020-08-17 |
| 1891342424 | John Ryan Sparks | Registered Nurse | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-08-19 |
| 1336609759 | Sarah Anne Netherton | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653 | 2019-03-21 |
| 1497213904 | Jessica Perkins | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-03-05 |
| 1932672227 | Athletico Ltd | Physical Therapist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-01-09 |
| 1831670181 | Tatiana G Nieuwenhuys | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-08-24 |
| 1134618242 | Margarita N Elias | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-05-03 |
| 1922546282 | Brian Russell Menghini | Registered Nurse | 13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 | 2017-02-07 |
| 1801341268 | Nasreen Shaikh | Internal Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430473 | Shawn Kinney | Dentist | 13808 N. Sandario Road, Marana, AZ 85653 | 2016-07-06 |
| 1134462625 | Brittany M Summerkamp | Registered Nurse | 11279 W Grier Rd Ste100, Marana, AZ 85653 | 2013-04-03 |
| 1972881555 | Nicole Michelle Trombetta | Dentist | 13808 N. Sandario Rd, Marana, AZ 85653 | 2011-07-29 |
| 1699075689 | Jessica Zapf | Psychologist | 12279 W. Grier Rd, Marana, AZ 85653 | 2010-10-25 |
| 1255643359 | Carson B Wagstaff | Dentist | 13435 N Lon Adams Rd, Marana, AZ 85653 | 2010-07-06 |
| 1750546271 | Robert A Ellers | Psychologist | 12279 W. Grier Rd., Marana, AZ 85653 | 2008-07-24 |
| 1972766277 | Michael Carlton Fair | Dentist | 13455 N Lon Adams Rd, Marana, AZ 85653 | 2008-07-07 |
| 1194924969 | Bradner J Lawrence | Dentist | 12610 West Silverbell Rd, Marana, AZ 85653 | 2007-07-12 |
| 1629111687 | Heather Raney | Speech-Language Pathologist | 37571 S Herron Rd, Marana, AZ 85653 | 2007-02-15 |
| 1366580862 | Robert Otis Branch | Speech-Language Pathologist | 11279 W. Grier Rd., Musd Special Education, Marana, AZ 85653 | 2007-02-05 |
| Find all providers in zip 85653 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689864597 | Marana Health Center, Inc | Clinic/Center | 13395 N Marana Main St Bldg B, Marana, AZ 85653-7008 | 2007-07-26 |
| 1417403007 | Marana Health Center, Inc | Clinic/Center | 5224 W Dove Centre Rd, Marana, AZ 85658-5063 | 2016-09-01 |
| 1578932422 | Marana Health Center, Inc | Clinic/Center | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2015-09-22 |
| 1194003350 | Marana Behavioral Health Center | Clinic/Center | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2011-07-21 |
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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.