| Community Medical Services Arizona-private, Llc | |
|
1500 E Woolford Rd Ste 101 Show Low AZ 85901-7105 | |
| (928) 251-2030 | |
| (928) 892-5103 |
| Full Name | Community Medical Services Arizona-private, Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1500 E Woolford Rd Ste 101, Show Low, Arizona |
| Authorized Official Name and Position | Cindy Gaither (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 4809355755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Services Arizona-private, Llc 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | Community Medical Services Arizona-private, Llc 1500 E Woolford Rd Ste 101 Show Low AZ 85901-7105 Ph: (928) 251-2030 |
| NPI Number | 1972215283 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972215283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
Community Medical Services-show Low Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woolford Rd Ste 101, Show Low, AZ 85901 Phone: 928-251-2030 Fax: 928-892-5103 | |
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