MARANA HEALTH CENTER INC (NPI# 1861544942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861544942 |
| Entity Type | Organization |
| Organization Name | MARANA HEALTH CENTER INC |
| Practice Address |
13395 N Marana Main St Marana AZ 85653-7008 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206821095 |
| Practice Fax Number | 5206822196 |
| Mailing Telephone | 5206824560 |
| Mailing Fax Number | 5206823299 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | CLINTON G KUNTZ (CEO) |
| Authorized Official Telephone | 5206824111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
4075 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS GROUP NUMBER | 329592 | 01 |
| AZ | 510768 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
| 1982917175 | Marana Health Center Inc | Clinic/Center | 1346 N Stone Ave, Tucson, AZ 85705-7338 | 2010-07-16 |
| 1154584977 | Marana Health Center Inc | Pharmacy | 3690 S Park Ave Ste 805, Tucson, AZ 85713-5042 | 2008-07-02 |
| 1164526471 | Marana Health Center Inc | Clinic/Center | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-09-08 |
| Street Address |
13395 N MARANA MAIN ST |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1154989168 | Community Hospital Association, Inc. | Pharmacy | 26750b S. Santa Fe Rd., Congress, AZ 85332 | 2019-06-04 |
| 1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
| 1245357706 | West Kingman Pharmacy, LLC | Pharmacy | 3135 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-03-22 |
| 1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
| 1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
| 1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
| 1376502054 | Sunset Community Health Center Inc | Pharmacy | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-03-21 |
| 1275519241 | El Rio Health Center (southwest) | Pharmacy | 1510 W Commerce Court, Tucson, AZ 85746-6015 | 2005-12-21 |
| 1447242417 | Cigna Health Care of Arizona Inc | Pharmacy | 1920 E Baseline Rd, Tempe, AZ 85283-1511 | 2005-08-16 |
| 1992797930 | Cigna Health Care of Arizona Inc | Pharmacy | 9069 W Thunderbird, Peoria, AZ 85381 | 2005-08-16 |
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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.