Community Medical Services Montana Private LLC
Organization Active NPI Methadone Clinic · Westminster, CO
NPI 1093582579 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1093582579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
- Practice address
- 7500 Sheridan Blvd
Westminster, CO 80003-6209 - Phone
- (720) 853-4230
- NPI assigned
- Dec 5, 2023
- Organization subpart
- No
Authorized official
- Name
- Alex Vilchis
- Title
- Credentialing Provider Data Manager
- Phone
- (480) 977-1438
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 33
Practitioners 5
-
Kyle W Buss, PA-C
-
Cassondra McQueen, FNP-C
-
Michel A Sucher, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Opioid treatment program
- Medicare-enrolled since Jun 12, 2024
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240814003083 | CO | Part B Supplier - Opioid Treatment Program (Otp) | 8729414362 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aurora, CO; Greenwood Village, CO; Lakewood, CO; Northglenn, CO; Westminster, CO |
National Provider Directory
- Tax ID family
- Community Medical Services Montana-Private LLC
Locations
11870 Washington St
Northglenn, CO 80233
Phone (720) 792-7575
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
7500 Sheridan Blvd
Westminster, CO 80003-6209
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (480) 977-1438
Other names
- CMS Westminster
Other providers in Westminster, CO
- Colorado Therapuetic Specialists
- Colorado Therapy & Assessment Center
- Colorado Training Associates Inc.
- Colorado Trauma Services PC
- Columbine Dermatology PC
- Community Reach Center, Inc
- Community Reach Center, Inc
- Community Reach Center, Inc
- Community Reach Center, Inc
- Community Reach Center, Inc
All providers in Westminster, CO · Methadone Clinic in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.