| Community Medical Services Arizona-private, Llc | |
|
3155 N. Windsong Drive Suites A And B Prescott Valley AZ 86314-2219 | |
| (928) 968-7400 | |
| (480) 687-7361 |
| Full Name | Community Medical Services Arizona-private, Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 3155 N. Windsong Drive, Prescott Valley, Arizona |
| Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6022488886 |
| 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: (480) 494-2497 | Community Medical Services Arizona-private, Llc 3155 N. Windsong Drive Suites A And B Prescott Valley AZ 86314-2219 Ph: (928) 968-7400 |
| NPI Number | 1457026460 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457026460 | NPI | - | NPPES |
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