COMMUNITY MEDICAL SERVICES IV LLC (NPI# 1598993057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598993057 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES IV LLC |
| Practice Address |
2559 E 7th Ave Flagstaff AZ 86004-3722 |
| Mailing Address |
3825 N 24th St Phoenix AZ 85016-6512 |
| Practice Telephone | 9287140010 |
| Mailing Telephone | 6022488886 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Authorized Official Name | KEELY N TORRES (QUALITY IMPROVEMENT) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BH1242 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710115928 | Community Medical Services Iv LLC | Counselor | 809 Hancock Rd Ste 1, Bullhead City, AZ 86442-5045 | 2009-06-25 |
| 1841353935 | Community Medical Services Iv LLC | Counselor | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2006-12-19 |
| 1609004167 | Community Medical Services Iv LLC | Counselor | 3050 N Navajo Dr, Prescott Valley, AZ 86314-8663 | 2009-06-23 |
| 1619172004 | Community Medical Services Iv LLC | Non-emergency Medical Transport (VAN) | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2007-06-18 |
| Street Address |
2559 E 7TH AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841353935 | Community Medical Services Iv LLC | Counselor | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2006-12-19 |
| 1700164019 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386994564 | Brad Todd Mattingly | Counselor | 121 E. Birch #511, Flagstaff, AZ 86001 | 2012-09-14 |
| 1750696027 | Sandra Nevills Reiff | Counselor | 3478 S Carol Dr, Flagstaff, AZ 86001-9007 | 2010-08-11 |
| 1881828259 | Verda Denetsosie | Counselor | 2717 N Steves Blvd Ste 11, Flagstaff, AZ 86004-3959 | 2009-05-13 |
| 1194975987 | Daniel E Bejesky | Counselor | 6 E Aspen Ave, Flagstaff, AZ 86001-5259 | 2008-09-29 |
| 1841353935 | Community Medical Services Iv LLC | Counselor | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2006-12-19 |
| 1194289124 | Bethel J Mccoy | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-23 |
| 1821437500 | Diane Margaret Van Cornewal | Counselor | 1215 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001-3126 | 2013-06-17 |
| 1295064848 | Anne R Cunningham | Counselor | 1016 W University Ave, Ste 202, Flagstaff, AZ 86001-2994 | 2009-12-10 |
| 1225278930 | Craig Allen Davis | Counselor | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-02-20 |
| 1093727224 | Janet Sheridan | Counselor | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2006-08-13 |
| Find all providers in FLAGSTAFF | ||||
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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.