Freedom Park

LBN: Marana Health Center, Inc
Freedom Park is an health care organization with primary practice located at 5000 E 29Th St , Tucson AZ 85711-6401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Marana Health Center, Inc can be contacted via phone (520) 790-8500, or through Kuntz, Clinton via phone (520) 682-4111.

Contact Information

Primary practice address
5000 E 29Th St Tucson AZ 85711-6401
Phone: (520) 790-8500
Fax: (520) 790-8505
Website:
Map and Directions
Authorized official contact:
Name: Kuntz, Clinton
Phone: (520) 682-4111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Arizona

Profile Details

NPI number 1023177250
LBN Legal business name Marana Health Center, Inc
DBA Doing business as Freedom Park
Authorized official Kuntz, Clinton
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2006
Last updated Feb 20th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023177250 NPPES
Arizona MEDICAID 417356
Arizona Other 329592

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