COMMUNITY MEDICAL SERVICES TUCSON ON PARK - NPI 1295447720

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.

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About Community Medical Services Tucson On Park NPPES

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

COMMUNITY MEDICAL SERVICES TUCSON ON PARK (NPI 1295447720) is a healthcare organization registered as a methadone in Tucson, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Cindy Gaither, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1295447720

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Location Address3720 S PARK AVE STE 601Tucson, AZ 85713-5046

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (480) 687-7361

Phone(520) 485-3200

Fax(520) 849-7061

Organization SubpartNo

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

Enumeration DateDecember 15, 2022

Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1295447720 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

3720 S PARK AVE STE 601, Tucson, AZ 85713

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Other Names 1

Doing Business AsCommunity Medical Services Tucson On Park

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 03D2167209

Community Medical Services - Tucson On Park · Tucson, AZ

Active · expires Jun 3, 2027

CLIA Number03D2167209

Laboratory TypeOutpatient Treatment Prgm

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorJustin M. Abeyta

Laboratory Phone(512) 986-7743

Laboratory LocationCommunity Medical Services - Tucson On Park3720 Park Ave Ste 601, Tucson, AZ 85713

CLIA data matches this NPI record on: Name

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.

MICHELLE HAUN LPN

Licensed Practical Nurse