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MANA HEALTH & WELLNESS INC
NPI 1043903875
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since May 29, 2023CLIA 03D2341479 · Waiver
4550 N BLACK CANYON HWY, PHOENIX, AZ 85017(808) 306-3054 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, May 29, 2023 (2 updates tracked since 2023).

About Mana Health & Wellness Inc NPPES

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

MANA HEALTH & WELLNESS INC (NPI 1043903875) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Sharon Fountain, President, as its authorized official.

NPPES Registry Identity

NPI1043903875
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMANA HEALTH & WELLNESS INC
Location Address4550 N BLACK CANYON HWYPhoenix, AZ 85017-3714
Mailing Address4550 N Black Canyon HwyPhoenix, AZ 85017-3714 · (808) 306-3054
Phone(808) 306-3054
Organization SubpartNo
Authorized OfficialSharon FountainPresident · (808) 306-3054
Enumeration DateMay 29, 2023
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1043903875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4550 N BLACK CANYON HWY, Phoenix, AZ 85017
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 03D2341479

Mana Health And Wellness Inc · Phoenix, AZ
Active · expires Apr 1, 2028
CLIA Number03D2341479
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorLuana Rutherford
Laboratory Phone(480) 626-9501
Laboratory LocationMana Health And Wellness Inc4550 N Black Canyon Hwy, Phoenix, AZ 85017
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS JOHNSTON DPT, PT, CSCS
Physical Therapist
4550 N BLACK CANYON HWY
PHOENIX, AZ 85017
Maricopa County (602) 995-2643

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 Mana Health & Wellness Inc's NPI number?

The NPI number for Mana Health & Wellness Inc is 1043903875. It was assigned to this organization in the NPPES registry on May 29, 2023.

Where is Mana Health & Wellness Inc located?

Mana Health & Wellness Inc is located at 4550 N Black Canyon Hwy, Phoenix, AZ 85017. The listed phone number is (808) 306-3054.

What is Mana Health & Wellness Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Mana Health & Wellness Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2341479) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mana Health & Wellness Inc accept?

Health plans from Blue Cross Blue Shield of Arizona list Mana Health & Wellness Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mana Health & Wellness Inc was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.