COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1538630009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538630009 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
| Other Organization Name | COMMUNITY MEDICAL SERVICES - MESA ON MAIN |
| Practice Address |
2940 E Main St Mesa AZ 85213-9305 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 6022488886 |
| Practice Fax Number | 6022488999 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2020-04-08 |
| 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 |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Medical Services - Mesa on Main | 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 |
| 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 |
2940 E MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85213-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| 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 |
|---|---|---|---|---|
| 1891172052 | Building New Bridges, Inc. | Clinic/Center | 455 N Mesa Dr Ste 11, Mesa, AZ 85201-5936 | 2015-04-27 |
| 1952724791 | Community Medical Services Arizona-private, LLC | Clinic/Center | 6116 E Arbor Ave, Building 1, Suite 104, Mesa, AZ 85206 | 2014-01-30 |
| 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.