MEDICARE: MARC COMMUNITY RESOURCES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184320400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARC COMMUNITY RESOURCES, INC

Provider Business Mailing Address
First Line	:	924 N COUNTRY CLUB DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-4108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3617 W CAMBRIDGE AVE STE C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85009-1353
Country	:	US
Telephone Number	:	480-969-3800
Fax Number	:

Authorized Official
Title or Position	:	VP, REVENUE OPTIMIZATION
Name	:	JENNIFER ANN BARRETT
Credential	:
Telephone Number	:	480-969-3800

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

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Directions to “MARC COMMUNITY RESOURCES, INC ” Practice Location

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