Community Medical Services Arizona-Private, LLC
Organization Active NPI Methadone Clinic · Prescott Valley, AZ
NPI 1457026460 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1457026460
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
- Practice address
- 3155 N. Windsong Drive
Suites a and B
Prescott Valley, AZ 86314-2219 - Phone
- (928) 968-7400
- Fax
- (480) 687-7361
- NPI assigned
- Aug 11, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Authorized official
- Name
- Nick Stavros
- Title
- Ceo
- Phone
- (602) 248-8886
Other NPIs on the same Medicare enrollment 26
Corporate family (same tax ID) 35
Practitioners 3
-
Claudia Bostick, LPN
-
Eva Burch, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200416000394 | AZ | Part B Supplier - Opioid Treatment Program (Otp) | 1759711625 |
26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ; Yuma, AZ; Tempe, AZ; Sierra Vista, AZ; Show Low, AZ; Safford, AZ; Prescott Valley, AZ; Phoenix, AZ… |
National Provider Directory
- Tax ID family
- Communtiy Medical Services
- Part of
- Communtiy Medical Services
Locations
3155 N Windsong Dr
Prescott Valley, AZ 86314
3155 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 968-7400
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
3155 N. Windsong Drive
Suites a and B
Prescott Valley, AZ 86314-2219
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (480) 494-2497
Other providers in Prescott Valley, AZ
- Barry Coe
- Mark Jerome Collins
- Mele Colston
- Community Drug Store, LLC
- Community Medical Services Arizona-Private, LLC
- Community Medical Services IV LLC
- Complete Family Care LLC
- Connections Lactation Care
- Continuum Healing Support
- Deborah Cook
All providers in Prescott Valley, AZ · Methadone Clinic in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. 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.