COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1497818595

NPI Information

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Phoenix, 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 1497818595. 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:

2301 W NORTHERN AVE
PHOENIX, AZ
ZIP 85021-918
Phone: (602) 866-9378
Fax: (602) 866-9394

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 CLIA number assigned to this NPI record is 03D2109047 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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