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MARANA TEEN WELLNESS CENTER
NPI 1104143411
Clinic/Center - Federally Qualified Health Center (FQHC) in Tucson, AZ

Active since April 26, 2010
12000 W EMIGH RD, TUCSON, AZ 85743(520) 682-9128(520) 682-9136 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marana Teen Wellness Center NPPES

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

MARANA TEEN WELLNESS CENTER (NPI 1104143411) is a healthcare organization registered as a federally qualified health center (fqhc) in Tucson, Arizona and active in the NPI registry since April 2010. The organization lists Dd Sande, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1104143411
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARANA TEEN WELLNESS CENTER
Location Address12000 W EMIGH RDTucson, AZ 85743-9696
Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4560 · Fax (520) 682-4570
Phone(520) 682-9128
Fax(520) 682-9136
Organization SubpartYesParent: Marana Health Center
Authorized OfficialDd SandeCredentialing Specialist · (520) 682-4560
Enumeration DateApril 26, 2010
✔ NPI 1104143411 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
License✔ Licensed in AZ · OTC0819
12000 W EMIGH RD, Tucson, AZ 85743
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Other Providers at the Same Location NPPES 4

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

KY N KARLIK MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
12000 W EMIGH RD
TUCSON, AZ 85743
Pima County (520) 682-3243
MRS. MARY G. ROEPKE RN
Student in an Organized Health Care Education/Training Program
12000 W EMIGH RD
TUCSON, AZ 85743
Pima County (520) 616-6400
CYNTHIA J CASSIDY RN
Registered Nurse (School)
12000 W EMIGH RD
TUCSON, AZ 85743
Pima County (520) 616-6400
DR. SHANA BURGOS-DESTEPHANIS PH.D.
Psychologist
12000 W EMIGH RD
TUCSON, AZ 85743
Pima County (520) 616-6400

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 Teen Wellness Center's NPI number?

The NPI number for Marana Teen Wellness Center is 1104143411. It was assigned to this organization in the NPPES registry on April 26, 2010.

Where is Marana Teen Wellness Center located?

Marana Teen Wellness Center is located at 12000 W Emigh Rd, Tucson, AZ 85743. The listed phone number is (520) 682-9128.

What is Marana Teen Wellness Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Marana Teen Wellness Center was last updated on April 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.