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NPI Code Detail

MEDICARE: COPE COMMUNITY SERVICES, INC.

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 License Number License Number State
1207Q00000XFamily Medicine PhysicianOTC6046AZ
22084P0802XAddiction Psychiatry PhysicianOTC6046AZ
3251B00000XCase Management AgencyOTC6046AZ
4261QM0850XAdult Mental Health Clinic/CenterOTC6046AZ
5251S00000XCommunity/Behavioral Health AgencyOTC6046AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417029448
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 : 8050 E LAKESIDE PKWY
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1254
Country : US
Telephone Number : 520-584-5820
Fax Number : 520-514-1514
Authorized Official
Title or Position : CEO
Name : MR. RODNEY COOK
Credential :
Telephone Number : 520-792-3293
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/07/2025

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

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