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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1760043525


NPI Information

NPI: 1760043525
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES - YUMA

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

Specialization: Methadone

CLIA Number: 03D2193824

Address:
201 S 1ST AVE
YUMA, AZ
ZIP 85364
Phone: (928) 291-3565
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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Yuma, 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 1760043525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Medical Services - Yuma.

The provider's business location address is:

201 S 1ST AVE
YUMA, AZ
ZIP 85364-205
Phone: (928) 291-3565
Fax: (928) 318-2109

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 03D2193824 - other - otp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2019 and was last updated on 2/12/2024.


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.