OrganizationActive
Marana Teen Wellness Center
NPI 1104143411 · Federally Qualified Health Center (FQHC) · Tucson, AZ
Provider details
- NPI number
- 1104143411
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Marana Health Center
- Organization subpart
- Yes
- Authorized official
- Dd Sande, Credentialing Specialist(520) 682-4560
- License
- OTC0819 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12000 W Emigh Rd
Tucson, AZ 85743-9696
Phone: (520) 682-9128
Fax: (520) 682-9136
Street-level locationGet directions
Mailing address
Po Box 188
Marana, AZ 85653-0188
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2010-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.