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COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC NPI 1659722114


NPI Information

NPI: 1659722114
Provider Name: COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC

Doing Business As: COMMUNITY MEDICAL SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 02D2112179

Address:
2521 E MOUNTAIN VILLAGE DR STE F
WASILLA, AK
ZIP 99654
Phone: (907) 290-3760
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COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC is a community behavioral health in Wasilla, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC NPI is 1659722114. 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:

2521 E MOUNTAIN VILLAGE DR STE F
WASILLA, AK
ZIP 99654
Phone: (907) 290-3760
Fax: (907) 631-0647

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

The CLIA number assigned to this NPI record is 02D2112179 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2016 and was last updated on 1/17/2022.


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)1036521ALASKANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1036521ALASKANo
3261QM2800XClinic/CenterMethadone1036521ALASKANo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5251S00000XCommunity/Behavioral HealthYes

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.