NPI | 1164526471 |
---|---|
Doing Business As | MARANA HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC-0032) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2024-05-06 |