MHC WESTSIDE HEALTH CENTER – NPI #1174111280
Clinic/Center

MHC WESTSIDE HEALTH CENTER is an AHC clinic located in TUCSON, AZ. NPPES has assigned the NPI number 1174111280 to MHC WESTSIDE HEALTH CENTER on January 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MHC WESTSIDE HEALTH CENTER” is a dba name, the actual legal business name for this organization is MARANA HEALTH CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on May 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MHC WESTSIDE HEALTH CENTER below.

NPI Profile for
MARANA HEALTH CENTER, INC

NPI Number
1174111280
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARANA HEALTH CENTER, INC
Doing Business As (dba): MHC WESTSIDE HEALTH CENTER
Primary location
1707 W. SAINT MARYS RD
STE 175
TUCSON, AZ 85745
Phone: (520) 616-6790 Fax: (520) 622-0849
Mailing address
PO BOX 188
MARANA, AZ 85653-0188
Phone: (520) 616-6790 Fax: (520) 622-0849
Organization Subpart
No
Authorized Official
JOSHUA CARZOLI
CEO
Phone: (520) 682-4111
Updated
Certification Date
May 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MHC WESTSIDE HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ090349
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.