| Community Medical Services Montana Private Llc | |
|
1020 West Broadway Minneapolis MN 55411-2504 | |
| (612) 895-3850 | |
| (612) 945-4710 |
| Full Name | Community Medical Services Montana Private Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 West Broadway, Minneapolis, Minnesota |
| Authorized Official Name and Position | Cindy Gaither (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Services Montana Private Llc 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | Community Medical Services Montana Private Llc 1020 West Broadway Minneapolis MN 55411-2504 Ph: (612) 895-3850 |
| NPI Number | 1033804653 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 8729414362 |
|---|---|
| Medicare Enrollment ID | O20240910000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033804653 | NPI | - | NPPES |
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