COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1407457062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407457062 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
| Practice Address |
6626 E Carondelet Dr Tucson AZ 85710-2119 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 5203727002 |
| Practice Fax Number | 5202981650 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| 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 |
| 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 |
6626 E CARONDELET DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295169423 | Brooke Laneback | Registered Nurse | 6626 E Carondelet Dr, Tucson, AZ 85710-2119 | 2013-08-23 |
| 1295169399 | Antonio Rascon IIi | Licensed Practical Nurse | 6626 E Carondelet Dr, Tucson, AZ 85710-2119 | 2013-08-26 |
| 1831523133 | Raichelle Sutton | Counselor | 6626 E Carondelet Dr, Tucson, AZ 85710-2119 | 2013-08-23 |
| 1982931515 | Community Medical Services Arizona-private, LLC | Clinic/Center | 6626 E Carondelet Dr, Tucson, AZ 85710-2119 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| 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 |
|---|---|---|---|---|
| 1124596911 | Etano Consulting Pllc | Clinic/Center | 3956 E Pima St, Tucson, AZ 85712-3315 | 2018-11-09 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1558907196 | Community Medical Services Arizona-private, LLC | Clinic/Center | 3720 S Park Ave, Tucson, AZ 85713-5071 | 2019-11-19 |
| 1922523232 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2001 W Orange Grove Rd Ste 202, Tucson, AZ 85704-1140 | 2017-08-08 |
| 1922545755 | Connectionsaccess, LLC | Clinic/Center | 1135 N Jones Blvd, Tucson, AZ 85716-3973 | 2017-01-31 |
| 1982931515 | Community Medical Services Arizona-private, LLC | Clinic/Center | 6626 E Carondelet Dr, Tucson, AZ 85710-2119 | 2009-11-03 |
| 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 |
| 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 | ||||
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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.