| Community Medical Services Montana Private Llc | |
|
901 28th Street South Suite C Fargo ND 58103-8743 | |
| (701) 404-1100 | |
| (701) 540-6498 |
| Full Name | Community Medical Services Montana Private Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 28th Street South, Fargo, North Dakota |
| Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
| 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 901 28th Street South Suite C Fargo ND 58103-8743 Ph: (701) 404-1100 |
| NPI Number | 1205360153 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Medicare PECOS PAC ID | 8729414362 |
|---|---|
| Medicare Enrollment ID | O20200203000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205360153 | NPI | - | NPPES |
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