Community Medical Services Montana-Private, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

MT10002M Issued in MT

Legal business name

COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC

Practice address

795 Sunset Blvd Ste F
Kalispell, MT 59901-3699

Phone

(406) 260-4181

Fax

(406) 260-4183

NPI assigned

Aug 18, 2015

Organization subpart

No

Name

Cindy Gaither

Title

VP Revenue Cycle MGMT

Phone

(602) 248-8886

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Community Medical Services Montana Private LLC

  • Methadone Clinic
  • Belgrade, MT
  • NPI 1790132082

  O20200219001095

  Same enrollment
• Community Medical Services Montana-Private, LLC

  • Methadone Clinic
  • Missoula, MT
  • NPI 1023484615

  O20200219001095

  Same enrollment
• Community Medical Services Montana-Private, LLC

  • Methadone Clinic
  • Billings, MT
  • NPI 1467828061

  O20200219001095

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in MT

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

• Community Medical Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2024.

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1407222003",
    "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": "795 SUNSET BLVD STE F",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013699",
            "telephone_number": "406-260-4181",
            "fax_number": "406-260-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "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": "MT",
            "license": "MT10002M",
            "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": "MT",
            "license": "MT10002M",
            "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"
        }
    ]
}

• Thomas Theodore Colyer, PH.D.
• Madison Commers
• Committed Care
• Community Birth Center
• Community Medical Services Montana Private LLC
• Jade Como
• Robert Joseph Confessore, PH.D.
• Brady James Conner, PHARMD
• Sheila Mary Conners, OTR-L
• Connie L Small, DDS, PLLC

• All providers in Kalispell, MT
• Methadone Clinic in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.