COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
NPI 1205360153
Clinic/Center - Methadone in Fargo, ND

Active since April 18, 2017CLIA 35D2128620 · Waiver
901 28TH STREET SOUTH, SUITE C, FARGO, ND 58103(701) 404-1100(701) 540-6498 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2024, Jan 18, 2022, Dec 27, 2021 and 2 more (5 updates tracked since 2017).

About Community Medical Services Montana Private Llc NPPES

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

COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC (NPI 1205360153) is a healthcare organization registered as a methadone in Fargo, North Dakota and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Cindy Gaither, Vp Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1205360153
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCOMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Location Address901 28TH STREET SOUTH, SUITE CFargo, ND 58103-8743
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 248-8999
Fax(701) 540-6498
Organization SubpartNo
Authorized OfficialCindy GaitherVp Revenue Cycle Mgmt · (602) 248-8886
Enumeration DateApril 18, 2017
Last NPPES UpdateMay 29, 20245 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
NPI 1205360153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in ND · 9003
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 · License 9003 (ND)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
901 28TH STREET SOUTH, Fargo, ND 58103

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 35D2128620

Community Medical Services - Fargo · Fargo, ND
Active · expires Apr 2, 2027
CLIA Number35D2128620
Laboratory TypeOp Treatment Program
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorJustin M. Abeyta
Laboratory Phone(701) 540-6468
Laboratory LocationCommunity Medical Services - Fargo901 28th St S, Suite C, Fargo, ND 58103
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
727 services25 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
75 services24 patients

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 1205360153. It was assigned to this organization in the NPPES registry on April 18, 2017.

Where is Community Medical Services Montana Private LLC located?

Community Medical Services Montana Private LLC is located at 901 28th Street South Suite C, Fargo, ND 58103. The listed phone number is (701) 404-1100.

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 35D2128620) is associated with this NPI, valid through April 2, 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 Blue Cross Blue Shield of North Dakota and Sanford Health Plan 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 29, 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.