COMMUNITY MEDICAL SERVICES IV LLC
NPI 1619172004
Non-emergency Medical Transport (VAN) in Phoenix, AZ

NPI Status: Active since June 18, 2007

Contact Information

3825 N 24TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 248-8886
Fax: (602) 248-8999

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  • Organization
  • Non-emergency Medical Transport (VAN)
  • CLIA Number: 52D2295175
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT PROG
  • CLIA Exp. Date: 12-05-2025

About COMMUNITY MEDICAL SERVICES IV LLC

This page provides the complete NPI Profile along with additional information for Community Medical Services Iv Llc, a provider established in Phoenix, Arizona operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1619172004 assigned on June 2007. The practitioner's primary taxonomy code is 343900000X with license number BH-2701 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Keely N. Torres (Quality Improvement)

NPI
1619172004
Provider Name
COMMUNITY MEDICAL SERVICES IV LLC
Entity Type
Organization
Location Address
3825 N 24TH ST PHOENIX, AZ 85016
Location Phone
(602) 248-8886
Location Fax
(602) 248-8999
Mailing Address
3825 N 24TH ST PHOENIX, AZ 85016
Mailing Phone
(602) 248-8886
Mailing Fax
(602) 248-8999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2007
Last Update Date
06-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
BH-2701
License State
AZ
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEELY N. TORRES

Authorized Official Title
QUALITY IMPROVEMENT
Authorized Official Phone
(602) 248-8886

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
961898MEDICAID (05)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2295175
Facility Type
Other - OUTPATIENT TREATMENT PROG
Certificate Effective Date
December 06, 2023
Certificate Expiration Date
December 05, 2025
Laboratory Director
JUSTIN M. ABEYTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Medical Services Iv Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY MEDICAL SERVICES IV LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619172004, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 2 + 7 + 4 + 0 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619172004.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
3825 N 24TH ST
PHOENIX, AZ 85016
Counselor (Professional)
3825 N 24TH ST
PHOENIX, AZ 85016
Counselor (Addiction (Substance Use Disorder))
3825 N 24TH ST
PHOENIX, AZ 85016
Case Manager/Care Coordinator
3825 N 24TH ST
PHOENIX, AZ 85016
Case Manager/Care Coordinator
3825 N 24TH ST
PHOENIX, AZ 85016
Case Manager/Care Coordinator
3825 N 24TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
3825 N 24TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Psychiatric/Mental Health)
3825 N 24TH ST
PHOENIX, AZ 85016
Physician Assistant
3825 N 24TH ST
PHOENIX, AZ 85016
Clinic/Center (Methadone)
3825 N 24TH ST
PHOENIX, AZ 85016
Clinic/Center (Methadone)
3825 N 24TH ST
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619172004, enumerated as an "organization" on June 18, 2007.

The provider is located at 3825 N 24TH ST PHOENIX, AZ 85016 and the phone number is (602) 248-8886.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.