MEDICARE: COPE COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261Q00000X	Clinic/Center
3	261QC1500X	Community Health Clinic/Center
4	261QH0100X	Health Service Clinic/Center
5	261QM0850X	Adult Mental Health Clinic/Center
6	261QM0855X	Adolescent and Children Mental Health Clinic/Center
7	261QP2300X	Primary Care Clinic/Center
8	251V00000X	Voluntary or Charitable 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	:	1023269131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPE COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1477 W COMMERCE CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6016
Country	:	US
Telephone Number	:	520-792-3293
Fax Number	:	520-792-4336

Provider Business Practice Location Address
First Line	:	1477 W COMMERCE CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6016
Country	:	US
Telephone Number	:	520-792-3293
Fax Number	:	520-792-4336

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	RODNEY COOK
Credential	:
Telephone Number	:	520-792-3293

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	08/27/2021

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Directions to “COPE COMMUNITY SERVICES, INC. ” Practice Location

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