COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC (NPI# 1356792816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356792816 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC |
| Other Organization Name | COMMUNITY MEDICAL SERVICES |
| Practice Address |
300 30th Ave Nw Ste D Minot ND 58703-0611 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 7018581801 |
| Practice Fax Number | 7018581802 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2016-06-27 |
| 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) |
9001 | ND | Behavioral Health & Social Service Providers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
9001 | ND | 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 |
| 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 |
| 1023484615 | Community Medical Services Montana-private, LLC | Counselor | 2415 S Catlin St, Missoula, MT 59801-7822 | 2015-08-18 |
| 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 |
300 30TH AVE NW STE D |
| City | MINOT |
| State | ND |
| Zip Code | 58703-0611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649735317 | Jordan Louis Pasley | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| 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 |
|---|---|---|---|---|
| 1306320213 | Central Clinic | Clinic/Center | 990 Main St, Carrington, ND 58421-2024 | 2018-09-18 |
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.