PREMIER SERVICES OF MICHIGAN LLC NPI 1043507502

NPI Information

NPI: 1043507502
Provider Name: PREMIER SERVICES OF MICHIGAN, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 23D2054876

Address:
25639 FORD RD
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 277-3293
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PREMIER SERVICES OF MICHIGAN, LLC is a methadone clinic center in Dearborn Heights, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PREMIER SERVICES OF MICHIGAN, LLC NPI is 1043507502. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Services.

The provider's business location address is:

25639 FORD RD
DEARBORN HEIGHTS, MI
ZIP 48127-817
Phone: (313) 277-3293

The provider's authorized official is Cindy Gaither .
The authorized official title is Vp Revenue Cycle Mgmt and has the following contact phone number (602) 248-8886.

The CLIA number assigned to this NPI record is 23D2054876 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2011 and was last updated on 2/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	251S00000X	Community/Behavioral Health		823050	MICHIGAN	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
5	261QM2800X	Clinic/Center	Methadone			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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