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COMMUNITY MEDICAL SERVICES IV LLC NPI 1841353935


NPI Information

NPI: 1841353935
Provider Name: COMMUNITY MEDICAL SERVICES IV LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 36D2284660

Address:
2559 E 7TH AVE
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 714-0010
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COMMUNITY MEDICAL SERVICES IV LLC is an addiction (substance use disorder) counselor in Flagstaff, AZ. COMMUNITY MEDICAL SERVICES IV LLC NPI is 1841353935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2559 E 7TH AVE
FLAGSTAFF, AZ
ZIP 86004-722
Phone: (928) 714-0010
Fax: (928) 714-0448

The provider's authorized official is Todd Stingley .
The authorized official title is Cfo and has the following contact phone number (602) 248-8886.

The CLIA number assigned to this NPI record is 36D2284660 - other - outpatient treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/5/2018.


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)Yes

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

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