COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC (NPI# 1023484615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023484615 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC |
| Other Organization Name | COMMUNITY MEDICAL SERVICES |
| Practice Address |
2415 S Catlin St Missoula MT 59801-7822 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 4065490114 |
| Practice Fax Number | 4065490267 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | TODD STINGLEY (CFO) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MT10001M | MT | Behavioral Health & Social Service Providers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MT10001M | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420849 | Community Medical Services Montana-private, LLC | Clinic/Center | 109 N Public Sq, Browning, MT 59417-5316 | 2020-02-28 |
| 1205360153 | Community Medical Services Montana-private, LLC | Counselor | 901 28th St S Ste B, Fargo, ND 58103-8743 | 2017-04-18 |
| 1356792816 | Community Medical Services Montana-private, LLC | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2016-06-27 |
| 1659722114 | Community Medical Services Montana-private, LLC | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654 | 2016-06-27 |
| 1467828061 | Community Medical Services Montana-private, LLC | Counselor | 2040 Rosebud Dr Ste 7, Billings, MT 59102-6294 | 2015-08-18 |
| 1306247325 | Community Medical Services Montana-private, LLC | Community/Behavioral Health | 1829 S Broadway, Suite 1, Minot, ND 58701-6571 | 2014-09-09 |
| 1679926745 | Community Medical Services Montana-private, LLC | Clinic/Center | 9449 N 90th St, Suite 210, Scottsdale, AZ 85258 | 2016-07-13 |
| 1790132082 | Community Medical Services Montana-private, LLC | Counselor | 8707 Jackrabbit Ln, Belgrade, MT 59714-8995 | 2016-05-17 |
| 1407222003 | Community Medical Services Montana-private, LLC | Counselor | 795 Sunset Blvd Ste F, Kalispell, MT 59901-3699 | 2015-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC | 2040 Rosebud Dr Ste 7, Billings, MT 59101-6294 |
| Colorado Business Entities | Community Medical Services Montana-Private, LLC | 14300 E. Exposition Avenue, Aurora, CO 80012 |
| Street Address |
2415 S CATLIN ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679907000 | Erin Briana Corbett | Counselor | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-08-21 |
| 1386190809 | Heidi Pauldine | Counselor | 2415 S Catlin St, Missoula, MT 59801-7822 | 2016-08-26 |
| 1598210007 | Margaret Baughman | Pharmacy Technician | 2415 S Catlin St, Missoula, MT 59801-7822 | 2016-08-25 |
| 1417402017 | Korin Yvette Fontaine | Counselor | 2415 S Catlin St, Missoula, MT 59801-7822 | 2016-08-24 |
| 1285069054 | Gudren Andrea Schroeder | Pharmacist | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-09-11 |
| 1558796870 | Eric Davis | Pharmacy Technician | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-09-05 |
| 1760816797 | Pamela K Koepplin | Case Manager/Care Coordinator | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-08-27 |
| 1457785800 | Franni Thomason | Licensed Practical Nurse | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420849 | Community Medical Services Montana-private, LLC | Clinic/Center | 109 N Public Sq, Browning, MT 59417-5316 | 2020-02-28 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.