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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558576850
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	:	480-969-3800
Fax Number	:	480-644-1557

Provider Business Practice Location Address
First Line	:	3617 W CAMBRIDGE AVE STE A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85009-1353
Country	:	US
Telephone Number	:	480-969-3800
Fax Number	:	480-644-1557

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTING
Name	:	KENNETH BROOKS
Credential	:
Telephone Number	:	602-432-3971

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	10/09/2025

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