COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1396204921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396204921 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
| Practice Address |
329 Lake Havasu Ave S Lake Havasu City AZ 86403-9368 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 9287647266 |
| Practice Fax Number | 9283023615 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| 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 |
| Other Name | Type Code |
|---|---|
| COMMUNITY MEDICAL SERVICES | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1053474148 | Community Medical Services Arizona-private, LLC | Counselor | 5002 W Glendale Ave Ste 101, Glendale, AZ 85301 | 2006-12-19 |
| Street Address |
329 LAKE HAVASU AVE S |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-9368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
| 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 |
| 1124596911 | Etano Consulting Pllc | Clinic/Center | 3956 E Pima St, Tucson, AZ 85712-3315 | 2018-11-09 |
| 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 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1497818595 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL SERVICES ARIZONA-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.