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NPI Code Detail

MEDICARE: ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

MEDICARE: ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC
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
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTC9320OTHERAZBUREAU OF MEDICAL LICENSING
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023550910
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC
Provider Business Mailing Address
First Line : PO BOX 86537
Second Line :
City : TUCSON
State : AZ
Zip : 85754-6537
Country : US
Telephone Number : 520-721-1887
Fax Number : 520-721-0069
Provider Business Practice Location Address
First Line : 5055 E BROADWAY BLVD STE A200
Second Line :
City : TUCSON
State : AZ
Zip : 85711-3649
Country : US
Telephone Number : 520-901-4701
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : ROSE MARY LOPEZ
Credential : MBA
Telephone Number : 520-721-1887
Provider Enumeration Date : 11/09/2016
Last Update Date : 11/19/2025

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Directions to “ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC ” Practice Location

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