COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC (NPI# 1407222003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407222003 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC |
| Other Organization Name | COMMUNITY MEDICAL SERVICES |
| Practice Address |
795 Sunset Blvd Ste F Kalispell MT 59901-3699 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 4062604181 |
| Practice Fax Number | 4062604183 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | TODD STINGLEY (CFO) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MT10002M | MT | Behavioral Health & Social Service Providers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MT10002M | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420849 | Community Medical Services Montana-private, LLC | Clinic/Center | 109 N Public Sq, Browning, MT 59417-5316 | 2020-02-28 |
| 1205360153 | Community Medical Services Montana-private, LLC | Counselor | 901 28th St S Ste B, Fargo, ND 58103-8743 | 2017-04-18 |
| 1356792816 | Community Medical Services Montana-private, LLC | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2016-06-27 |
| 1659722114 | Community Medical Services Montana-private, LLC | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654 | 2016-06-27 |
| 1467828061 | Community Medical Services Montana-private, LLC | Counselor | 2040 Rosebud Dr Ste 7, Billings, MT 59102-6294 | 2015-08-18 |
| 1306247325 | Community Medical Services Montana-private, LLC | Community/Behavioral Health | 1829 S Broadway, Suite 1, Minot, ND 58701-6571 | 2014-09-09 |
| 1679926745 | Community Medical Services Montana-private, LLC | Clinic/Center | 9449 N 90th St, Suite 210, Scottsdale, AZ 85258 | 2016-07-13 |
| 1790132082 | Community Medical Services Montana-private, LLC | Counselor | 8707 Jackrabbit Ln, Belgrade, MT 59714-8995 | 2016-05-17 |
| 1023484615 | Community Medical Services Montana-private, LLC | Counselor | 2415 S Catlin St, Missoula, MT 59801-7822 | 2015-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC | 2040 Rosebud Dr Ste 7, Billings, MT 59101-6294 |
| Colorado Business Entities | Community Medical Services Montana-Private, LLC | 14300 E. Exposition Avenue, Aurora, CO 80012 |
| Street Address |
795 SUNSET BLVD STE F |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134553373 | Mary Elizabeth Hyle-worbets | Registered Nurse | 795 Sunset Blvd Ste F, Kalispell, MT 59901-3699 | 2013-08-23 |
| 1679907380 | Nancy Anna Riva | Registered Nurse | 795 Sunset Blvd Ste F, Kalispell, MT 59901-3699 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1801420849 | Community Medical Services Montana-private, LLC | Clinic/Center | 109 N Public Sq, Browning, MT 59417-5316 | 2020-02-28 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL SERVICES MONTANA-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.