COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC


Address: 3825 N 24th St, Phoenix, AZ 85016-6512
Phone: 6022488886

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1386726693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386726693
Entity Type Organization
Organization Name COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Practice Address 3825 N 24th St
Phoenix
AZ 85016-6512
Practice Telephone 6022488886
Practice Fax Number 6022488999
Mailing Telephone 6022488886
Mailing Fax Number 6022488999
Enumeration Date 2006-10-19
Last Update Date 2020-02-28
Authorized Official Name TODD STINGLEY (CORPORATE CONTROLLER)
Authorized Official Telephone 6022488886
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811514524 Community Medical Services Arizona-private, LLC Clinic/Center 2806 W Cactus Rd, Phoenix, AZ 85029-3347 2020-06-29
1477191153 Community Medical Services Arizona-private, LLC Clinic/Center 2525 S Rural Rd Ste 9-10n, Tempe, AZ 85282-2435 2019-12-13
1962069468 Community Medical Services Arizona-private, LLC Clinic/Center 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ 86401-6232 2019-05-21
1770147571 Community Medical Services Arizona-private, LLC Clinic/Center 274 W View Point Dr, Nogales, AZ 85621-4114 2019-04-26
1013570589 Community Medical Services Arizona-private, LLC Clinic/Center 10689 N 99th Ave, Peoria, AZ 85345-5402 2019-04-19
1396204921 Community Medical Services Arizona-private, LLC Clinic/Center 329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 2019-03-13
1538630009 Community Medical Services Arizona-private, LLC Counselor 2940 E Main St, Mesa, AZ 85213-9305 2018-12-10
1326530940 Community Medical Services Arizona-private, LLC Clinical Medical Laboratory 6116 E Arbor Ave Ste 104, Mesa, AZ 85206-6103 2018-05-30
1154822062 Community Medical Services Arizona-private, LLC Counselor 440 N Camino Mercado Ste 2, Casa Grande, AZ 85122-5750 2018-02-26
1497818595 Community Medical Services Arizona-private, LLC Clinic/Center 2301 W Northern Ave, Phoenix, AZ 85021-4918 2006-12-19

Office Location

Street Address 3825 N 24TH ST
City PHOENIX
State AZ
Zip Code 85016-6512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912933532 Scott John Woffinden Physical Therapist 3825 N 24th St, Phoenix, AZ 85016-6512 2006-06-24
1609361492 Lauren Michelle Nivison Nurse Practitioner 3825 N 24th St, Phoenix, AZ 85016-6512 2018-06-25
1659705416 Suzanne Vivian Brown Case Manager/Care Coordinator 3825 N 24th St, Phoenix, AZ 85016-6512 2013-08-29
1558795419 Adriana Reyes Case Manager/Care Coordinator 3825 N 24th St, Phoenix, AZ 85016-6512 2013-08-28
1891129029 Shannan Zell Bogner Case Manager/Care Coordinator 3825 N 24th St, Phoenix, AZ 85016-6512 2013-08-23
1790119063 Michele Donaldson Holben Counselor 3825 N 24th St, Phoenix, AZ 85016-6512 2013-08-22
1851725212 Mindy Bess Lacasse Counselor 3825 N 24th St, Phoenix, AZ 85016-6512 2013-08-21
1619172004 Community Medical Services Iv LLC Non-emergency Medical Transport (VAN) 3825 N 24th St, Phoenix, AZ 85016-6512 2007-06-18
1255496469 George Stavros Family Medicine 3825 N 24th St, Phoenix, AZ 85016-6512 2006-12-27
1366507592 Richard E Christensen Physician Assistant 3825 N 24th St, Phoenix, AZ 85016-6512 2006-12-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811514524 Community Medical Services Arizona-private, LLC Clinic/Center 2806 W Cactus Rd, Phoenix, AZ 85029-3347 2020-06-29
1043700032 Bell Treatment Center Clinic/Center 1614 W Bell Rd, Phoenix, AZ 85023 2018-05-15
1104282771 Addiction Resources, Inc. Clinic/Center 4337 W Indian School Rd, 107, Phoenix, AZ 85031-2982 2016-01-12
1497818595 Community Medical Services Arizona-private, LLC Clinic/Center 2301 W Northern Ave, Phoenix, AZ 85021-4918 2006-12-19
1801303508 Connectionsaccess, LLC- Osborn Clinic Clinic/Center 3333 N 7th Ave, Phoenix, AZ 85013-4108 2018-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477191153 Community Medical Services Arizona-private, LLC Clinic/Center 2525 S Rural Rd Ste 9-10n, Tempe, AZ 85282-2435 2019-12-13
1962069468 Community Medical Services Arizona-private, LLC Clinic/Center 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ 86401-6232 2019-05-21
1770147571 Community Medical Services Arizona-private, LLC Clinic/Center 274 W View Point Dr, Nogales, AZ 85621-4114 2019-04-26
1013570589 Community Medical Services Arizona-private, LLC Clinic/Center 10689 N 99th Ave, Peoria, AZ 85345-5402 2019-04-19
1396204921 Community Medical Services Arizona-private, LLC Clinic/Center 329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 2019-03-13
1124596911 Etano Consulting Pllc Clinic/Center 3956 E Pima St, Tucson, AZ 85712-3315 2018-11-09
1700192077 Mission Treatment Centers, Inc. Clinic/Center 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 2010-08-25
1548361470 La Frontera Center, Inc. Clinic/Center 260 S. Scott, Tucson, AZ 85701 2006-09-25
1407457062 Community Medical Services Arizona-private, LLC Clinic/Center 6626 E Carondelet Dr, Tucson, AZ 85710-2119 2020-11-02
1932749926 Community Medical Acquisition Corp Clinic/Center 9449 N 90th St Ste 210, Scottsdale, AZ 85258-5037 2020-01-08
Find all providers with the same taxonomy

Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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