DOVE MOUNTAIN HEALTH CENTER – NPI #1497206767
Clinic/Center

DOVE MOUNTAIN HEALTH CENTER is an AHC clinic located in MARANA, AZ. NPPES has assigned the NPI number 1497206767 to DOVE MOUNTAIN HEALTH CENTER on October 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOVE MOUNTAIN 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 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

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 DOVE MOUNTAIN HEALTH CENTER below.

NPI Profile for
MARANA HEALTH CENTER, INC

NPI Number
1497206767
Enumeration Date

(more than 9 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): DOVE MOUNTAIN HEALTH CENTER
Primary location
5224 W DOVE CENTRE RD
MARANA, AZ 85658-5063
Phone: (520) 616-1445 Fax: (520) 616-1446
Mailing address
PO BOX 188
MARANA, AZ 85653-0188
Phone: (520) 616-1445 Fax: (520) 616-1446
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 DOVE MOUNTAIN 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
medicaidAZ210718
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (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.