CMS FARGO
NPI 1235841933
Clinic/Center - Methadone in Fargo, ND

Q: 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.

Active since December 14, 2022CLIA 35D2128620 · Waiver

901 28TH ST S STE C, FARGO, ND 58103(701) 404-1100(701) 540-6498 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 10, 2024, Dec 14, 2022 (2 updates tracked since 2022).

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About Cms Fargo NPPES

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

CMS FARGO (NPI 1235841933) is a healthcare organization registered as a methadone in Fargo, North Dakota and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Cindy Gaither, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1235841933

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameCOMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC

Location Address901 28TH ST S STE CFargo, ND 58103-8745

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (480) 494-2497 · Fax (480) 687-7361

Phone(701) 404-1100

Fax(701) 540-6498

Organization SubpartNo

Authorized OfficialCindy GaitherVp Of Revenue Cycle Management · (602) 248-8886

Enumeration DateDecember 14, 2022

Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1235841933 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

901 28TH ST S STE C, Fargo, ND 58103

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Other Names 1

Doing Business AsCms Fargo

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

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.

Other Providers at the Same Location NPPES 6

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

ELIZABETH NYMBERG

Counselor (Addiction (Substance Use Disorder))