Organization · Type 2 NPI

Community Medical Services Arizona-Private, LLC

Methadone Clinic · Show Low, AZ

NPI number 1053978460 Active

Practice location

1500 E Woolford Road, Suite 101
Show Low, AZ 85901-7105

Call (928) 251-2030 Map

Fax (928) 892-5103

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 Show Low

Community Medical Services Arizona-Private, LLCMethadone Clinic Show Low, AZ NPI 1972215283

See all in Show Low →

NPI record

NPI: 1053978460
Entity type: Organization (Type 2)
Issued: May 21, 2019
Last updated: Aug 20, 2025
Status: Active

Other names

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Community Medical Services-Show Low · doing business as
Community Medical Services-Show Low · doing business as

Authorized official

Nick Stavros
CEO
(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 1053978460

Community Medical Services Arizona-Private, LLC's National Provider Identifier is 1053978460, issued on May 21, 2019. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Show Low, AZ. The record was last updated on Aug 20, 2025.