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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
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 |
Street Address |
3825 N 24TH ST |
City | PHOENIX |
State | AZ |
Zip Code | 85016-6512 |
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 |
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 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 |
---|---|---|---|---|
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 |
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 |
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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.