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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1952724791


NPI Information

NPI: 1952724791
Provider Name: COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES

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

Specialization: Methadone

Address:
6116 E ARBOR AVE STE 103-104
MESA, AZ
ZIP 85206
Phone: (480) 499-4599
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COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Mesa, 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 1952724791. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Medical Services.

The provider's business location address is:

6116 E ARBOR AVE STE 103-104
MESA, AZ
ZIP 85206-107
Phone: (480) 499-4599
Fax: (480) 656-5687

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 1/30/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)OTC6524ARIZONANo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QM2800XClinic/CenterMethadoneOTC6524ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1914899MEDICAIDARIZONA

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

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