Organization · Type 2 NPI

Community Medical Services Montana-Private, LLC

Methadone Clinic · Roseville, MN

NPI number 1053069005 Active

Practice location

2350 N Cleveland Ave
Roseville, MN 55113

Call (507) 850-1100 Map

Fax (651) 493-4247

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.

Other methadone clinic providers in Roseville

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NPI record

NPI: 1053069005
Entity type: Organization (Type 2)
Issued: Mar 17, 2022
Last updated: May 22, 2024
Status: Active

Other names

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Community Medical Services · doing business as
Community Medical Services · doing business as

Authorized official

Cindy Gaither
VP Revenue Cycle MGMT
(602) 248-8886

Verify this record

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 1053069005

Community Medical Services Montana-Private, LLC's National Provider Identifier is 1053069005, issued on Mar 17, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Roseville, MN. The record was last updated on May 22, 2024.