Organization · Type 2 NPI

Community Medical Services Montana-Private, LLC

Methadone Clinic · Wasilla, AK

NPI number 1104537877 Active

Practice location

2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373

Call (907) 782-4750 Map

Fax (907) 743-3072

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.

7 other providers at this address

Other methadone clinic providers in Wasilla

Community Medical Services Montana Private LLCMethadone Clinic Wasilla, AK NPI 1659722114

See all in Wasilla →

NPI record

NPI: 1104537877
Entity type: Organization (Type 2)
Issued: Dec 13, 2022
Last updated: Feb 10, 2024
Status: Active

Other names

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

Authorized official

Cindy Gaither
VP of RCM
(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 1104537877

Community Medical Services Montana-Private, LLC's National Provider Identifier is 1104537877, issued on Dec 13, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Wasilla, AK. The record was last updated on Feb 10, 2024.