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COPE COMMUNITY SERVICES INC. NPI 1033509070


NPI Information

NPI: 1033509070
Provider Name: COPE COMMUNITY SERVICES, INC.

Other Name: FIFTH STREET INTEGRATED CLINIC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
5401 E 5TH ST
TUCSON, AZ
ZIP 85711
Phone: (520) 792-3293
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COPE COMMUNITY SERVICES, INC. is a methadone clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. COPE COMMUNITY SERVICES, INC. NPI is 1033509070. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fifth Street Integrated Clinic.

The provider's business location address is:

5401 E 5TH ST
TUCSON, AZ
ZIP 85711-333
Phone: (520) 792-3293
Fax: (520) 792-4336

The provider's authorized official is Rodney Cook .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 792-3293.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 8/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineOTC6987ARIZONANo
2251B00000XCase ManagementOTC6987ARIZONANo
3251S00000XCommunity/Behavioral HealthOTC6987ARIZONANo
4261QC1500XClinic/CenterCommunity HealthOTC6987ARIZONANo
5261QM2800XClinic/CenterMethadoneOTC6987ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1031601MEDICAIDARIZONA

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

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