COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC NPI 1205360153

NPI Information

NPI: 1205360153
Provider Name: COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
901 28TH ST S STE B
FARGO, ND
ZIP 58103
Phone: (701) 404-1100
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COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC is a methadone clinic center in Fargo, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC NPI is 1205360153. The provider is registered as an organization entity type.

The provider's business location address is:

901 28TH ST S STE B
FARGO, ND
ZIP 58103-743
Phone: (701) 404-1100
Fax: (701) 540-6498

The provider's authorized official is Cindy Gaither .
The authorized official title is Vp Revenue Cycle Mgmt and has the following contact phone number (602) 248-8886.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 2/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	9003	NORTH DAKOTA	No
3	251S00000X	Community/Behavioral Health				No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
5	261QM2800X	Clinic/Center	Methadone	9003	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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