COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1497818595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497818595 |
Entity Type | Organization |
Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
Other Organization Name | COMMUNITY MEDICAL SERVICES |
Practice Address |
2301 W Northern Ave Phoenix AZ 85021-4918 |
Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
Practice Telephone | 6028669378 |
Practice Fax Number | 6028669394 |
Mailing Telephone | 6022488886 |
Mailing Fax Number | 6022488999 |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-02-27 |
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 |
OTC6788 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 590019 | 05 |
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 |
1053474148 | Community Medical Services Arizona-private, LLC | Counselor | 5002 W Glendale Ave Ste 101, Glendale, AZ 85301 | 2006-12-19 |
Street Address |
2301 W NORTHERN AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85021-4918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271504 | Aimee Joy Steffen | Counselor | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2020-10-04 |
1386079986 | Dee Prado | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-09-13 |
1467887364 | Janice Yarbrough | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-09-10 |
1144655424 | Viola Brown-lee | Licensed Practical Nurse | 2301 W Northern Ave, Community Medical Services-northern, Phoenix, AZ 85021-4918 | 2013-09-05 |
1568896041 | Kelly Koziatek | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-09-03 |
1326472044 | Jessica Holley | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-08-29 |
1558795484 | Ronald Steward | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-08-28 |
1194159103 | Chad Steven Mabee | Counselor | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-08-27 |
1558795526 | David Bock | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-08-27 |
1699109835 | Maria De Los Angeles Montano | Case Manager/Care Coordinator | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2013-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
Find all providers in zip 85021 |
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 |
1801303508 | Connectionsaccess, LLC- Osborn Clinic | Clinic/Center | 3333 N 7th Ave, Phoenix, AZ 85013-4108 | 2018-01-03 |
1386726693 | Community Medical Services Arizona-private, LLC | Clinic/Center | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-10-19 |
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 |
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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.