NPIMap

Organization Active NPI

Community Medical Services IV LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bullhead City, AZ
National Provider Identifier
1710115928
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BH-906 Issued in AZ
Legal business name
COMMUNITY MEDICAL SERVICES IV LLC
Practice address
809 Hancock Rd Ste 1
Bullhead City, AZ 86442-5045
Phone
(928) 775-7088
Fax
(928) 775-7099
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Keely N Torres
Title
Quality Improvement
Phone
(602) 248-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X BH-906 AZ Primary

Addresses

Primary practice location

809 Hancock Rd Ste 1
Bullhead City, AZ 86442-5045

Mailing address

3825 N 24TH St
Phoenix, AZ 85016-6512

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Services IV LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3825 N 24th St
Phoenix, AZ 85016
Phone (602) 955-7997

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1710115928",
    "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": "809 HANCOCK RD STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425045",
            "telephone_number": "928-775-7088",
            "fax_number": "928-775-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL SERVICES IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "602-248-8886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "BH-906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.