Community Medical Services Montana-Private, LLC
Organization Active NPI Methadone Clinic · Wasilla, AK
NPI 1104537877 · NPPES record last updated Feb 10, 2024
Key facts
- NPI
- 1104537877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
- Practice address
- 2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373 - Phone
- (907) 782-4750
- Fax
- (907) 743-3072
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Cindy Gaither
- Title
- VP of RCM
- Phone
- (602) 248-8886
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Community Medical Services Montana-Private LLC
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
2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Other names
- Community Medical Services Wasilla
Other providers in Wasilla, AK
- Colony Manor at Village Park Assisted Living Home
- Colony Manor Creekside Assisted Living Homes
- Comfort Rose Assisted Living LLC
- Community Counseling & Consulting, LLC
- Community Medical Services Montana Private LLC
- Compassionate Medi Rides Transportation
- Comprehensive Pain Management,Inc.
- Danny Compton
- Desiree Compton
- Nichol Lee Comtpon
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.