Erickson Health Center

LBN: Marana Health Center, Inc
Erickson Health Center is an health care organization with primary practice located at 6750 E Stella Rd , Tucson AZ 85730-2202. 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) 682-4560, or through Vatne, Clarence via phone (520) 682-4560.

Contact Information

Primary practice address
6750 E Stella Rd Tucson AZ 85730-2202
Phone: (520) 682-4560
Fax: (520) 682-3299
Website:
Map and Directions
Authorized official contact:
Name: Vatne, Clarence
Phone: (520) 682-4560

Health care specialties

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

Profile Details

NPI number 1659430874
LBN Legal business name Marana Health Center, Inc
DBA Doing business as Erickson Health Center
Authorized official Vatne, Clarence
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2006
Last updated May 28th, 2008 - about 18 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 1659430874 NPPES
Arizona MEDICAID 060153
Arizona Other 329592

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