| Marana Teen Wellness Center | |
|
12000 W Emigh Rd Tucson AZ 85743-9696 | |
| (520) 682-9128 | |
| (520) 682-9136 |
| Full Name | Marana Teen Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12000 W Emigh Rd, Tucson, Arizona |
| Authorized Official Name and Position | Dd Sande (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5206824560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marana Teen Wellness Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4560 | Marana Teen Wellness Center 12000 W Emigh Rd Tucson AZ 85743-9696 Ph: (520) 682-9128 |
| NPI Number | 1104143411 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104143411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC0819 (Arizona) | Primary |
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