FREEDOM PARK
NPI 1023177250
Clinic/Center - Federally Qualified Health Center (FQHC) in Tucson, AZ

Active since December 06, 2006CLIA 03D0532041 · Waiver
5000 E 29TH ST, TUCSON, AZ 85711(520) 790-8500(520) 790-8505 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freedom Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM PARK (NPI 1023177250) is a healthcare organization registered as a federally qualified health center (fqhc) in Tucson, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Clinton Kuntz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023177250
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARANA HEALTH CENTER, INC
Location Address5000 E 29TH STTucson, AZ 85711-6401
Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 818-3630
Fax(520) 790-8505
Organization SubpartYes
Authorized OfficialClinton KuntzCeo · (520) 682-4111
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 20, 2014
NPI 1023177250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5000 E 29TH ST, Tucson, AZ 85711

Other Names 1

Doing Business AsFreedom Park

Other Identifiers 4

Medicare PINZWMBRVAZ
Other329592AZ · Ahcccs Group Number
Medicare OSCAR/certification031855AZ
Medicaid417356AZ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0532041

Marana Health Center · Marana, AZ
Active · expires Sep 24, 2027
CLIA Number03D0532041
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDamilola Oluyitan-Okeze
Laboratory Phone(520) 682-4111
Laboratory LocationMarana Health Center13395 N Marana Main St, Marana, AZ 85653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marana Health Center, Inc's NPI number?

The NPI number for Marana Health Center, Inc is 1023177250. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Freedom Park.

Where is Marana Health Center, Inc located?

Marana Health Center, Inc is located at 5000 E 29th St, Tucson, AZ 85711. The listed phone number is (520) 790-8500.

What is Marana Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Marana Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0532041) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marana Health Center, Inc was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.