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COMMUNITY MEDICAL SERVICES NORTHERN
NPI 1164133872
Clinic/Center - Methadone in Phoenix, AZ

Active since December 13, 2022CLIA Certified · 2 labs
2301 W NORTHERN AVE, PHOENIX, AZ 85021(602) 866-9378(602) 866-9394 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2024, Dec 13, 2022 (2 updates tracked since 2022).

About Community Medical Services Northern NPPES

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

COMMUNITY MEDICAL SERVICES NORTHERN (NPI 1164133872) is a healthcare organization registered as a methadone in Phoenix, Arizona and active in the NPI registry since December 2022. The organization holds 2 active CLIA laboratory certificates and lists Cindy Gaither, Vp Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1164133872
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Location Address2301 W NORTHERN AVEPhoenix, AZ 85021-4918
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437
Phone(602) 866-9378
Fax(602) 866-9394
Organization SubpartNo
Authorized OfficialCindy GaitherVp Of Rcm · (602) 248-8886
Enumeration DateDecember 13, 2022
Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2024
✔ NPI 1164133872 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
2301 W NORTHERN AVE, Phoenix, AZ 85021
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Other Names 1

Doing Business AsCommunity Medical Services Northern

CLIA Laboratory Certificates CMS CLIA 2

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 03D2109047

Community Medical Services · Phoenix, AZ
Active · expires Feb 17, 2028
CLIA Number03D2109047
Laboratory TypeOutpatient Treatment Pgm
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorJustin Abeyta
Laboratory Phone(602) 866-9378
Laboratory LocationCommunity Medical Services2301 W Northern Ave, Phoenix, AZ 85021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2132722

Community Medical Services · Tucson, AZ
Active · expires Jun 26, 2027
CLIA Number03D2132722
Laboratory TypeOutpatient Treatment Prgm
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJustin Abeyta
Laboratory Phone(602) 866-9378
Laboratory LocationCommunity Medical Services2001 W Orange Grove Rd Ste 414, Tucson, AZ 85704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

CYNTHIA I SANCHEZ ROMERO RN
Registered Nurse
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
KATHLEEN M ORONA
Licensed Practical Nurse
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (520) 924-8900
VIOLA BROWN-LEE
Licensed Practical Nurse
2301 W NORTHERN AVE, COMMUNITY MEDICAL SERVICES-NORTHERN
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
MR. CHAD STEVEN MABEE LAC
Counselor
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
MS. JESSICA HOLLEY
Case Manager/Care Coordinator
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
MRS. DEE PRADO BHT
Case Manager/Care Coordinator
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
JANICE YARBROUGH
Case Manager/Care Coordinator
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 866-9378
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Clinic/Center (Methadone)
2301 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 248-8886

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 1164133872. It was assigned to this organization in the NPPES registry on December 13, 2022. The provider is doing business as Community Medical Services Northern.

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

Community Medical Services Arizona-Private, LLC is located at 2301 W Northern Ave, Phoenix, AZ 85021. The listed phone number is (602) 866-9378.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Community Medical Services Arizona-Private, LLC was last updated on February 10, 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.