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COMMUNITY MEDICAL SERVICES-MINNEAPOLIS ON BROADWAY
NPI 1033804653
Clinic/Center - Methadone in Minneapolis, MN

Active since April 10, 2023CLIA 24D2267954 · Waiver
1020 WEST BROADWAY, MINNEAPOLIS, MN 55411(612) 895-3850(612) 945-4710 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Feb 10, 2024, Apr 10, 2023 (3 updates tracked since 2023).

About Community Medical Services-minneapolis On Broadway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEDICAL SERVICES-MINNEAPOLIS ON BROADWAY (NPI 1033804653) is a healthcare organization registered as a methadone in Minneapolis, Minnesota and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Cindy Gaither, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1033804653
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCOMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Location Address1020 WEST BROADWAYMinneapolis, MN 55411-2504
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (480) 687-7361
Phone(612) 895-3850
Fax(612) 945-4710
Organization SubpartNo
Authorized OfficialCindy GaitherVp Of Revenue Cycle Management · (602) 248-8886
Enumeration DateApril 10, 2023
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1033804653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1020 WEST BROADWAY, Minneapolis, MN 55411
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Medical Services-minneapolis On Broadway

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2267954

Community Medical Services - Minneapolis On Broadway · Minneapolis, MN
Active · expires Sep 1, 2026
CLIA Number24D2267954
Laboratory TypeOutpatient Treatment Prog
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorJustin Abeyta
Laboratory Phone(612) 895-3850
Laboratory LocationCommunity Medical Services - Minneapolis On Broadway1020 West Broadway, Minneapolis, MN 55411
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM TILLEMANS DO
Obstetrics & Gynecology
1020 WEST BROADWAY, UMP BROADWAY FAMILY MEDICINE URGENT CARE
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8275
STEPHANIE M WALTERS MD
Family Medicine
1020 WEST BROADWAY, UMP BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8200
MARK WILLIAM YEAZEL M.D.
Family Medicine
1020 WEST BROADWAY
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8200
MICHAEL WOOTTEN M.D.
Family Medicine
1020 WEST BROADWAY, UMP-BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Medical Services Montana Private LLC's NPI number?

The NPI number for Community Medical Services Montana Private LLC is 1033804653. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Community Medical Services-Minneapolis On Broadway.

Where is Community Medical Services Montana Private LLC located?

Community Medical Services Montana Private LLC is located at 1020 West Broadway, Minneapolis, MN 55411. The listed phone number is (612) 895-3850.

What is Community Medical Services Montana Private LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Community Medical Services Montana Private LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2267954) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Medical Services Montana Private LLC accept?

Health plans from HealthPartners list Community Medical Services Montana Private LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Medical Services Montana Private LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.