Active NPI
Community Medical Services Montana Private LLC
- Methadone Clinic
- Belgrade, MT
National Provider Identifier
1790132082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- MT10004M
- Legal business name
- COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
- Practice address
- 8707 Jackrabbit LN
Belgrade, MT 59714-8995 - Phone
- (406) 404-7900
- Fax
- (406) 388-2474
- NPI assigned
- May 17, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Cindy Gaither
- Title
- VP Revenue Cycle MGMT
- Phone
- (602) 248-8886
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Missoula, MT
- NPI 1023484615
O20200219001095
-
- Methadone Clinic
- Kalispell, MT
- NPI 1407222003
O20200219001095
-
- Methadone Clinic
- Billings, MT
- NPI 1467828061
O20200219001095
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Methadone Clinic
- Minneapolis, MN
- NPI 1033804653
8729414362
-
- Methadone Clinic
- Wasilla, AK
- NPI 1659722114
8729414362
-
- Methadone Clinic
- Aurora, CO
- NPI 1871239657
8729414362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200219001095 | MT | Part B Supplier - Opioid Treatment Program (Otp) | 8729414362 |
3 other NPIs on this enrollment Practice locations: Missoula, MT; Kalispell, MT; Belgrade, MT; Billings, MT |
National Provider Directory
National Provider DirectorySpecialties & licenses 5
NPPES NPI Registry| 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 | MT10004M | MT | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
NPPES NPI RegistryPrimary practice location
8707 Jackrabbit LN
Belgrade, MT 59714-8995
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Other names 1
NPPES NPI Registry- Community Medical Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2024.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707523200000",
"number": "1790132082",
"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": "406-248-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8707 JACKRABBIT LN",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148995",
"telephone_number": "406-404-7900",
"fax_number": "406-388-2474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-17",
"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": null,
"license": null,
"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": "MT10004M",
"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"
}
]
}
Other providers in Belgrade, MT
Sources for this page
- 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.