Marana Health Center Behaioral Health | |
13644 N Sandario Rd Marana AZ 85653-8579 | |
(520) 682-4560 | |
(520) 682-3299 |
Full Name | Marana Health Center Behaioral Health |
---|---|
Speciality | Community/behavioral Health |
Location | 13644 N Sandario Rd, Marana, Arizona |
Authorized Official Name and Position | Clarence Vatne (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5206824560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marana Health Center Behaioral Health Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4560 | Marana Health Center Behaioral Health 13644 N Sandario Rd Marana AZ 85653-8579 Ph: (520) 682-4560 |
NPI Number | 1053525337 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 05/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053525337 | NPI | - | NPPES |
329592 | Other | AZ | AHCCCS GROUP NUMBER |
060153 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OTC-0032 (Arizona) | Primary |
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