| Hope, Inc | |
|
1200 N Country Club Rd Tucson AZ 85716-3625 | |
| (520) 770-1197 | |
| (520) 770-1199 |
| Full Name | Hope, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1200 N Country Club Rd, Tucson, Arizona |
| Authorized Official Name and Position | Becca King (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5207701197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope, Inc 1200 N Country Club Rd Tucson AZ 85716-3625 Ph: (520) 770-1197 | Hope, Inc 1200 N Country Club Rd Tucson AZ 85716-3625 Ph: (520) 770-1197 |
| NPI Number | 1801143540 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 2365667367 |
|---|---|
| Medicare Enrollment ID | O20140708000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801143540 | NPI | - | NPPES |
| 756638 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dale W Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427107101 PECOS PAC ID: 5890775886 Enrollment ID: I20100217000413 |
| Provider Name | Lindsey M Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801168513 PECOS PAC ID: 9638478811 Enrollment ID: I20160422001723 |
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