Organization
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Active
Other names
Community Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VP REVENUE CYCLE MGMT)
(602) 248-8886
Entity
Organization
Contact information
Practice address
2521 E. MOUNTAIN VILLAGE DRIVE SUITES E AND F, WASILLA, AK 99654
(907) 290-3760
(907) 631-0647
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 248-8999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1036521
AK
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1036521
AK
261QM2800X
Methadone Clinic
Primary
1036521
AK
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/27/2016
Last updated
07/15/2024
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