COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
NPI 1053978460
Clinic/Center - Methadone in Show Low, AZ

Q: What is Community Medical Services Arizona-Private, LLC's specialty?

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

Active since May 21, 2019CLIA 03D2164709 · Waiver

1500 E WOOLFORD ROAD, SUITE 101, SHOW LOW, AZ 85901(928) 251-2030(928) 892-5103 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2024, Feb 10, 2024, Oct 20, 2021 and 2 more (5 updates tracked since 2019).

On this page

About Community Medical Services Arizona-private, Llc NPPES

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI 1053978460), doing business as Community Medical Services-show Low, is a healthcare organization registered as a methadone in Show Low, Arizona and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Nick Stavros, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053978460

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Location Address1500 E WOOLFORD ROAD, SUITE 101Show Low, AZ 85901-7105

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 248-8999

Phone(928) 251-2030

Fax(928) 892-5103

Organization SubpartNo

Authorized OfficialNick StavrosCeo · (602) 248-8886

Enumeration DateMay 21, 2019

Last NPPES UpdateAugust 20, 20255 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1053978460 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

1500 E WOOLFORD ROAD, Show Low, AZ 85901

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Other Names 1

Doing Business AsCommunity Medical Services-show Low

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 Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.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 03D2164709

Community Medical Services - Show Low · Show Low, AZ

Active · expires Apr 10, 2027

CLIA Number03D2164709

Laboratory TypeOtp

Certificate Effective DateApril 11, 2025

Certificate Expiration DateApril 10, 2027

Laboratory DirectorJustin Abeyta

Laboratory Phone(512) 986-7743

Laboratory LocationCommunity Medical Services - Show Low1500 E Woolford Rd Ste 101, Show Low, AZ 85901

CLIA data matches this NPI record on: Address Name

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 Arizona-Private, LLC's NPI number?

The NPI number for Community Medical Services Arizona-Private, LLC is 1053978460. It was assigned to this organization in the NPPES registry on May 21, 2019. The provider is doing business as Community Medical Services-Show Low.

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

Community Medical Services Arizona-Private, LLC is located at 1500 E Woolford Road Suite 101, Show Low, AZ 85901. The listed phone number is (928) 251-2030.

What is Community Medical Services Arizona-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 Arizona-Private, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2164709) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Medical Services Arizona-Private, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Community Medical Services Arizona-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 Arizona-Private, LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.