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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1396204921


NPI Information

NPI: 1396204921
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES

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

Specialization: Methadone

CLIA Number: 36D2262983

Address:
329 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 764-7266
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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Lake Havasu City, AZ. 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. COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC NPI is 1396204921. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Medical Services.

The provider's business location address is:

329 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ
ZIP 86403-368
Phone: (928) 764-7266
Fax: (928) 302-3615

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 36D2262983 - other - outpatient treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2019 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5261QM2800XClinic/CenterMethadoneYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.