Craycroft Integrated Clinic

LBN: Cope Community Services, Inc.
Craycroft Integrated Clinic is an health care organization with primary practice located at 620 N Craycroft Rd , Tucson AZ 85711. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Primary Care. Agencies / Community/Behavioral Health is the primary health care specialty. Cope Community Services, Inc. can be contacted via phone (520) 519-8550, or through Cook, Rodney via phone (520) 792-3293.

Contact Information

Primary practice address
620 N Craycroft Rd Tucson AZ 85711
Phone: (520) 519-8550
Fax: (520) 519-8540
Website:
Map and Directions
Authorized official contact:
Name: Cook, Rodney
Phone: (520) 792-3293

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OTC 6706 Arizona
Agencies / Case Management 251B00000X OTC 6706 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC 6706 Arizona
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X OTC6706 Arizona
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC6706 Arizona
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC6706 Arizona
Ambulatory Health Care Facilities / Primary Care 261QP2300X OTC6706 Arizona

Profile Details

NPI number 1871901033
LBN Legal business name Cope Community Services, Inc.
DBA Doing business as Craycroft Integrated Clinic
Authorized official Cook, Rodney
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2014
Last updated Aug 27th, 2021 - about 4 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 1871901033 NPPES
Arizona MEDICAID 927130

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