COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE LLC NPI 1962069468

NPI Information

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC is a methadone clinic center in Kingman, 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 1962069468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Medical Services-kingman.

The provider's business location address is:

1115 N STOCKTON HILL RD STE 103&104
KINGMAN, AZ
ZIP 86401-232
Phone: (928) 565-6599
Fax: (928) 529-5180

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 CLIA number assigned to this NPI record is 03D2184582 - other - otc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2019 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:

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