FIFTH STREET INTEGRATED CLINIC
NPI 1033509070
Clinic/Center - Methadone in Tucson, AZ
NPI Status: Active since January 29, 2015
Contact Information
5401 E 5TH ST
TUCSON, AZ
ZIP 85711
Phone: (520) 792-3293
Fax: (520) 792-4336
- Organization
- Clinic/Center
- Methadone
- Accepts Insurance
About FIFTH STREET INTEGRATED CLINIC
This page provides the complete NPI Profile along with additional information for Fifth Street Integrated Clinic, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1033509070 assigned on January 2015. The practitioner's primary taxonomy code is 261QM2800X with license number OTC6987 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. Fifth Street Integrated Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Fifth Street Integrated Clinic. The authorized official of this NPI record is Mr. Rodney Cook (Chief Executive Officer)
- NPI
- 1033509070
- Provider Legal Name
- COPE COMMUNITY SERVICES, INC.
- Other Organization Name
- FIFTH STREET INTEGRATED CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5401 E 5TH ST TUCSON, AZ 85711
- Location Phone
- (520) 792-3293
- Location Fax
- (520) 792-4336
- Mailing Address
- 1477 W COMMERCE CT TUCSON, AZ 85746
- Mailing Phone
- (520) 792-3293
- Mailing Fax
- (520) 792-4336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2015
- Last Update Date
- 08-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC6987
- License State
- AZ
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | OTC6987 (AZ) |
| 2 | 251B00000X | Agencies | Case Management | OTC6987 (AZ) |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | OTC6987 (AZ) |
| 4 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | OTC6987 (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 031601 | MEDICAID (05) | AZ |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 5 | 0 | 9 | 0 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 10 | 0 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 0 + 0 + 1 + 8 + 0 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1033509070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033509070, enumerated in the NPI registry as an "organization" on January 29, 2015
The provider is located at 5401 E 5th St Tucson, Az 85711 and the phone number is (520) 792-3293
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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