ASSURANCE ASSERTIVE COMMUNITY TREATMENT LLC NPI 1023550910

NPI Information

NPI: 1023550910
Provider Name: ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

Other Name: CPIH AACT

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5055 E BROADWAY BLVD STE A200
TUCSON, AZ
ZIP 85711
Phone: (520) 901-4701
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ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC is a multi-specialty clinic center in Tucson, AZ. ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC NPI is 1023550910. The provider is registered as an organization entity type.
The provider Other Name Is Cpih Aact.

The provider's business location address is:

5055 E BROADWAY BLVD STE A200
TUCSON, AZ
ZIP 85711-649
Phone: (520) 901-4701

The provider's authorized official is Rose Mary Lopez .
The authorized official title is President And Ceo and has the following contact phone number (520) 721-1887.

The CLIA number assigned to this NPI record is 03D2126080 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	OTC8061	ARIZONA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	OTC8061	ARIZONA	No
4	103TC0700X	Psychologist	Clinical	OTC8061	ARIZONA	No
5	101YP2500X	Counselor	Professional	OTC8061	ARIZONA	No
6	1041C0700X	Social Worker	Clinical	OTC8061	ARIZONA	No
7	207Q00000X	Family Medicine		OTC8061	ARIZONA	No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	OTC8061	ARIZONA	No
9	251S00000X	Community/Behavioral Health		OTC8061	ARIZONA	No
10	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	231942	MEDICAID	ARIZONA
2	OTC9320	OTHER	ARIZONA	BUREAU OF MEDICAL LICENSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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