NPIMap

Organization Active NPI

Community Substance Abuse Services, Inc.

  • Health Maintenance Organization
  • Kingsford, MI
National Provider Identifier
1346570868
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
220003 Issued in MI
Legal business name
COMMUNITY SUBSTANCE ABUSE SERVICES, INC.
Practice address
373 Woodward Ave
Kingsford, MI 49802-4628
Phone
(906) 774-7511
Fax
(906) 774-7357
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jaci A Laroux
Title
Ceo
Phone
(906) 774-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 220003 MI Primary

Addresses

Primary practice location

373 Woodward Ave
Kingsford, MI 49802-4628

Mailing address

373 Woodward Ave
Kingsford, MI 49802-4628
Phone (906) 774-7511

National Provider Directory

National Provider Directory
Tax ID family
Community Substance Abuse Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1346570868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 WOODWARD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024628",
            "telephone_number": "906-774-7511",
            "fax_number": "906-774-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 WOODWARD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024628",
            "telephone_number": "906-774-7511",
            "fax_number": "906-774-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUBSTANCE ABUSE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "LAROUX",
        "authorized_official_first_name": "JACI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-774-7511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "220003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.