COMMUNITY MEDICAL SERVICES
NPI 1053069005
Clinic/Center - Methadone in Roseville, MN

Active since March 17, 2022CLIA 38D2286629 · Waiver
2350 N CLEVELAND AVE, ROSEVILLE, MN 55113(507) 850-1100(651) 493-4247 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Community Medical Services NPPES

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

COMMUNITY MEDICAL SERVICES (NPI 1053069005) is a healthcare organization registered as a methadone in Roseville, Minnesota and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Cindy Gaither, Vp Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1053069005
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCOMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
Location Address2350 N CLEVELAND AVERoseville, MN 55113
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (480) 494-2497 · Fax (480) 687-7361
Fax(651) 493-4247
Organization SubpartNo
Authorized OfficialCindy GaitherVp Revenue Cycle Mgmt · (602) 248-8886
Enumeration DateMarch 17, 2022
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1053069005 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2350 N CLEVELAND AVE, Roseville, MN 55113

Other Names 1

Doing Business AsCommunity Medical Services

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

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 38D2286629

Community Medical Services - Salem · Salem, OR
Active · expires Jul 31, 2027
CLIA Number38D2286629
Laboratory TypeOutpatient Treatment Prog
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorJustin M. Abeyta
Laboratory Phone(602) 248-8886
Laboratory LocationCommunity Medical Services - Salem702 Church St NE, Salem, OR 97301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1053069005. It was assigned to this organization in the NPPES registry on March 17, 2022. The provider is doing business as Community Medical Services.

Where is Community Medical Services Montana-Private, LLC located?

Community Medical Services Montana-Private, LLC is located at 2350 N Cleveland Ave, Roseville, MN 55113. The listed phone number is (507) 850-1100.

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 38D2286629) is associated with this NPI, valid through July 31, 2027. 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 May 22, 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.