Community Medical Services Montana-Private, LLC
Organization Active NPI Methadone Clinic · Grand Forks, ND
NPI 1699487199 · NPPES record last updated Feb 10, 2024
Key facts
- NPI
- 1699487199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
- Practice address
- 2424 32ND Ave S Ste 103
Grand Forks, ND 58201-6509 - Phone
- (701) 792-6700
- Fax
- (701) 757-0765
- NPI assigned
- Dec 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Cindy Gaither
- Title
- VP of Revenue Cycle Management
- Phone
- (602) 248-8886
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Community Medical Services Montana-Private LLC
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
2424 32ND Ave S Ste 103
Grand Forks, ND 58201-6509
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (480) 494-2497
Other names
- CMS Grand Forks
Other providers in Grand Forks, ND
- Jolene R Collings
- Abigail Collins
- Colorado Springs Radiologists PC
- Anna Colter-Bonn
- Community Medical Services Montana Private LLC
- Community Violence Intervention Center Inc
- Compassionate Hands Home Care LLC
- Natasha Compeau
- Sheila Ann Compeau
- Miranda Confer
All providers in Grand Forks, ND · Methadone Clinic in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.