MARANA HEALTH CARE INC NPI 1114301157

NPI Information

NPI: 1114301157
Provider Name: MARANA HEALTH CARE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
8181 E IRVINGTON RD
TUCSON, AZ
ZIP 85709
Phone: (520) 574-1551
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MARANA HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Tucson, AZ. MARANA HEALTH CARE, INC NPI is 1114301157. The provider is registered as an organization entity type.

The provider's business location address is:

8181 E IRVINGTON RD
TUCSON, AZ
ZIP 85709-001
Phone: (520) 574-1551

The provider's authorized official is Dinnorah Millan Medina .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (520) 256-7534.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 7/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	RN131609	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	329529	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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