COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1942364732

NPI Information

NPI: 1942364732
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES

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

Specialization: Methadone

Address:
3825 N 24TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 955-7997
Get Directions

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 1942364732. 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:

3825 N 24TH ST
PHOENIX, AZ
ZIP 85016-512
Phone: (602) 955-7997
Fax: (602) 954-0980

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 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	OTC6083	ARIZONA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
3	363A00000X	Physician Assistant		OTC6083	ARIZONA	No
4	261QM2800X	Clinic/Center	Methadone			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	342717	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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