Community Medical Services IV LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BH-2862 Issued in AZ

Legal business name

COMMUNITY MEDICAL SERVICES IV LLC

Practice address

3050 N Navajo Dr
Prescott Valley, AZ 86314-8663

Phone

(928) 775-7088

Fax

(928) 775-7099

NPI assigned

Jun 23, 2009

Organization subpart

No

Name

Keely Torres

Title

Quality Improvement

Phone

(602) 248-8886

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

• Community Medical Services IV LLC

  • Addiction (Substance Use Disorder) Counselor
  • Flagstaff, AZ
  • NPI 1598993057
  NPD tax ID
• Community Medical Services IV LLC

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
  • NPI 1619172004
  NPD tax ID
• Community Medical Services IV LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bullhead City, AZ
  • NPI 1710115928
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2009.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1609004167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N NAVAJO DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148663",
            "telephone_number": "928-775-7088",
            "fax_number": "928-775-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL SERVICES IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "KEELY",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "602-248-8886"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "BH-2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jerome Collins, DO
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• Deborah Cook
• John Carter Cook, RPH

• All providers in Prescott Valley, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.