Organization · Type 2 NPI

Community Medical Services Montana Private LLC

Methadone Clinic · Minneapolis, MN

NPI number 1033804653 Active

Practice location

1020 West Broadway
Minneapolis, MN 55411-2504

Call (612) 895-3850 Map

Fax (612) 945-4710

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Methadone Clinic Primary	261QM2800X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

4 other providers at this address

Other methadone clinic providers in Minneapolis

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NPI record

NPI: 1033804653
Entity type: Organization (Type 2)
Issued: Apr 10, 2023
Last updated: Jul 24, 2024
Status: Active

Other names

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Community Medical Services-Minneapolis On Broadway · doing business as
Community Medical Services-Minneapolis On Broadway · doing business as

Authorized official

Cindy Gaither
VP of Revenue Cycle Management
(602) 248-8886

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033804653

Community Medical Services Montana Private LLC's National Provider Identifier is 1033804653, issued on Apr 10, 2023. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 24, 2024.