COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1134780992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780992 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
| Practice Address |
213 E Monroe Ave Buckeye AZ 85326-2704 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 6232331330 |
| Practice Fax Number | 6232349131 |
| Mailing Telephone | 4804942497 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| 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 - Buckeye | 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 |
213 E MONROE AVE |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372225 | Rohit Malhotra | Internal Medicine | 213 E Monroe Ave, Buckeye, AZ 85326 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.