| Organization Name: | MARANA HEALTH CENTER INC |
| NPI Number: | 1164526471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLINTON KUNTZ (CEO) |
| Mailing Address: | 13395 N Marana Main St Marana |
| State: | AZ US |
| Postal Code: | 856537008 |
| Phone Number: | 5206824111 |
| Fax Number: | 5206823817 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 02/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | OTC-0032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |