Active NPI
Community Medical Services Montana-Private, LLC
Doing business as Community Medical Services
- Methadone Clinic
- Minot, ND
National Provider Identifier
1356792816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 9001
- Legal business name
- COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
- Doing business as
- Community Medical Services
- Practice address
- 300 30TH Ave NW, Suites D and E
Minot, ND 58703-0611 - Phone
- (701) 858-1801
- Fax
- (701) 858-1802
- NPI assigned
- Jun 27, 2016
- Last updated
- May 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Gaither
- Title
- VP Revenue Cycle MGMT
- Phone
- (602) 248-8886
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9001 | ND | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | 9001 | ND | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
300 30TH Ave NW, Suites D and E
Minot, ND 58703-0611
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Other names 1
- Community Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200203000628 | ND | Part B Supplier - Opioid Treatment Program (Otp) | 8729414362 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fargo, ND; Grand Forks, ND; Minot, ND |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Fargo, ND
- NPI 1205360153
O20200203000628
-
dba Community Medical Services
- Methadone Clinic
- Grand Forks, ND
- NPI 1326786054
O20200203000628
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Minot, ND
- NPI 1982321410
-
- Addiction (Substance Use Disorder) Counselor
- Fargo, ND
- NPI 1780197095
-
- Addiction (Substance Use Disorder) Counselor
- Fargo, ND
- NPI 1194157776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1356792816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 N 90TH ST STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584437",
"telephone_number": "602-248-8886",
"fax_number": "602-248-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 30TH AVE NW, SUITES D AND E",
"city": "MINOT",
"state": "ND",
"postal_code": "587030611",
"telephone_number": "701-858-1801",
"fax_number": "701-858-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-27",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "GAITHER",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "VP REVENUE CYCLE MGMT",
"authorized_official_telephone_number": "602-248-8886"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "9001",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "ND",
"license": "9001",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Medical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.