Fifth Street Integrated Clinic

LBN: Cope Community Services, Inc.
Fifth Street Integrated Clinic is an health care organization with primary practice located at 5401 E 5Th St , Tucson AZ 85711-2333. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Cope Community Services, Inc. can be contacted via phone (520) 792-3293, or through Cook, Rodney via phone (520) 792-3293.

Contact Information

Primary practice address
5401 E 5Th St Tucson AZ 85711-2333
Phone: (520) 792-3293
Fax: (520) 792-4336
Website:
Map and Directions
Authorized official contact:
Name: Cook, Rodney
Phone: (520) 792-3293

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X OTC6987 Arizona
Agencies / Case Management 251B00000X OTC6987 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC6987 Arizona
Ambulatory Health Care Facilities / Community Health 261QC1500X OTC6987 Arizona
Ambulatory Health Care Facilities / Methadone 261QM2800X OTC6987 Arizona

Profile Details

NPI number 1033509070
LBN Legal business name Cope Community Services, Inc.
DBA Doing business as Fifth Street Integrated Clinic
Authorized official Cook, Rodney
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2015
Last updated Aug 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033509070 NPPES
Arizona MEDICAID 031601

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