MARANA HEALTH CENTER, INC (NPI# 1679724124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679724124 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER, INC |
| Practice Address |
2355 N Wyatt Dr Suite 101 Tucson AZ 85712-2120 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206164948 |
| Practice Fax Number | 5206164958 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MR. CLINTON KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARANA HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC5165 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS GROUP NUMBER | 329592 | 01 |
| AZ | 928903 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2355 N Wyatt Dr, Suite 101, Tucson, AZ 857122120 | 5206164948 | 5206164958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821324948 | Marana Health Center, Inc | Clinic/Center | 8181 E Irvington Rd, Tucson, AZ 85709-4001 | 2009-10-23 |
| 1689864597 | Marana Health Center, Inc | Clinic/Center | 13395 N Marana Main St Bldg B, Marana, AZ 85653-7008 | 2007-07-26 |
| 1376603837 | Marana Health Center, Inc | Clinic/Center | 435 E Glenn St, Tucson, AZ 85705-4664 | 2006-12-12 |
| 1477612786 | Marana Health Center, Inc | Clinic/Center | 3645 E Pima St, Tucson, AZ 85716-3320 | 2006-12-06 |
| 1023177250 | Marana Health Center, Inc | Clinic/Center | 5000 E 29th St, Tucson, AZ 85711-6401 | 2006-12-06 |
| 1053470294 | Marana Health Center, Inc | Clinic/Center | 8045 S Rita Rd, Tucson, AZ 85747-9018 | 2006-12-06 |
| 1659430874 | Marana Health Center, Inc | Clinic/Center | 6750 E Stella Rd, Tucson, AZ 85730-2202 | 2006-12-06 |
| 1073072450 | Marana Health Center, Inc | Pharmacy | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-15 |
| 1306305909 | Marana Health Center, Inc | Clinic/Center | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-14 |
| 1710446331 | Marana Health Center, Inc | Clinic/Center | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-13 |
| Street Address |
2355 N WYATT DR SUITE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235162983 | Linda Chung Ahn | Obstetrics & Gynecology | 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 | 2006-07-08 |
| 1346686037 | Chantelle Chen | Family Medicine | 2355 N Wyatt Dr, Ste 101, Tucson, AZ 85712-2120 | 2013-05-21 |
| 1881949188 | Douglas G Cook | Nurse Practitioner | 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 | 2012-07-23 |
| 1447560321 | Gemma V Bowerman | Registered Nurse | 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 | 2010-10-13 |
| 1760538870 | Peter P Kay | Plastic Surgery | 2355 N Wyatt Dr, Suite 111, Tucson, AZ 85712-2120 | 2007-01-25 |
| 1295808244 | Christine Naomi Legler | Pediatrics | 2355 N Wyatt Dr, Ste 101, Tucson, AZ 85712-2120 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1104143411 | Marana Teen Wellness Center | Clinic/Center | 12000 W Emigh Rd, Tucson, AZ 85743-9696 | 2010-04-26 |
| 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 |
| 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.