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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1457026460


NPI Information

NPI: 1457026460
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
3155 N WINDSONG DR STE A&B
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 968-7400
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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Prescott Valley, 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 1457026460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3155 N WINDSONG DR STE A&B
PRESCOTT VALLEY, AZ
ZIP 86314-219
Phone: (928) 968-7400
Fax: (480) 687-7361

The provider's authorized official is Cindy Gaither .
The authorized official title is Revenue Cycle Director and has the following contact phone number (480) 935-5755.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 10/20/2021.


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
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QM2800XClinic/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: 11/14/2023

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.