| Hope Integrated Clinic LLC | |
|
3425 E Grant Rd Ste 100 Tucson AZ 85716-2840 | |
| (480) 306-1423 | |
| Not Available |
| Full Name | Hope Integrated Clinic LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3425 E Grant Rd Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Gift Mutesi (OWNER) |
| Authorized Official Contact | 4803061423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Integrated Clinic LLC 5220 E Fairy Duster Dr Tucson AZ 85756-5140 Ph: (480) 306-1423 | Hope Integrated Clinic LLC 3425 E Grant Rd Ste 100 Tucson AZ 85716-2840 Ph: (480) 306-1423 |
| NPI Number | 1083301048 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 09/19/2025 |
| Certification Date | 09/19/2025 |
| Medicare PECOS PAC ID | 7810485851 |
|---|---|
| Medicare Enrollment ID | O20251022002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083301048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Anastasia Mukamusoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568906626 PECOS PAC ID: 9133402829 Enrollment ID: I20170202001950 |
| Provider Name | Jeffrey Gishkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649415126 PECOS PAC ID: 1557850823 Enrollment ID: I20251028000728 |
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