| Community Medical Services Arizona-private, Llc | |
|
2301 W Northern Ave Phoenix AZ 85021-4918 | |
| (602) 248-8886 | |
| (602) 248-8999 |
| Full Name | Community Medical Services Arizona-private, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2301 W Northern Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Nick Stavros (CEO) |
| 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 Arizona-private, Llc 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | Community Medical Services Arizona-private, Llc 2301 W Northern Ave Phoenix AZ 85021-4918 Ph: (602) 248-8886 |
| NPI Number | 1497818595 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2025 |
| Certification Date | 08/22/2025 |
| Medicare PECOS PAC ID | 1759711625 |
|---|---|
| Medicare Enrollment ID | O20200416000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497818595 | NPI | - | NPPES |
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