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
- CLIA Number: 03D1020843
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 01-05-2028
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 5 years ago. Fifth Street Integrated Clinic operates as a Multi-Specialty Group with one or more individual practitioners, 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
- 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
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 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D1020843
- Facility Type
- Community Clinic
- Certificate Effective Date
- January 06, 2026
- Certificate Expiration Date
- January 05, 2028
- Laboratory Director
- SUSAN K. HADLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fifth Street Integrated Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033509070, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033509070, enumerated 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.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.
