Provider Type Icon

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1780165480


NPI Information

NPI: 1780165480
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES - EAST BROADWAY

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

Specialization: Methadone

CLIA Number: 03D2150654

Address:
6802 E BROADWAY BLVD
TUCSON, AZ
ZIP 85710
Phone: (520) 314-1400
Get Directions

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Tucson, 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 1780165480. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Services - East Broadway.

The provider's business location address is:

6802 E BROADWAY BLVD
TUCSON, AZ
ZIP 85710-809
Phone: (520) 314-1400

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 03D2150654 - other - outpatient treatment prgm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2018 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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4251S00000XCommunity/Behavioral HealthNo
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.