Community Medical Services Arizona-Private, LLC
Organization Active NPI Methadone Clinic · Peoria, AZ
NPI 1003527482 · NPPES record last updated Feb 10, 2024
Key facts
- NPI
- 1003527482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
- Practice address
- 10689 N 99TH Ave
Peoria, AZ 85345-5402 - Phone
- (623) 233-1333
- Fax
- (623) 234-8333
- NPI assigned
- Dec 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Cindy Gaither
- Title
- VP of Revenue Cycle Mangement
- Phone
- (602) 248-8886
Corporate family (same tax ID) 35
National Provider Directory
- Tax ID family
- Communtiy Medical Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
10689 N 99TH Ave
Peoria, AZ 85345-5402
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Other names
- COMMUNITY MEDICAL SERVICES
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.