COMMUNITY MEDICAL SERVICES EAST BROADWAY - NPI 1760193452

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 East Broadway NPPES

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

COMMUNITY MEDICAL SERVICES EAST BROADWAY (NPI 1760193452) 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 28, 2028 and lists Cindy Gaither, Vp Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1760193452

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Location Address6802 E BROADWAY BLVDTucson, AZ 85710-2809

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437

Phone(520) 314-1400

Fax(520) 203-7539

Organization SubpartNo

Authorized OfficialCindy GaitherVp Of Rcm · (602) 248-8886

Enumeration DateDecember 13, 2022

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1760193452 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

6802 E BROADWAY BLVD, Tucson, AZ 85710

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Other Names 1

Doing Business AsCommunity Medical Services East Broadway

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 03D2150654

Community Medical Services - East Broadway · Tucson, AZ

Active · expires Jun 28, 2028

CLIA Number03D2150654

Laboratory TypeOutpatient Treatment Prgm

Certificate Effective DateJune 29, 2026

Certificate Expiration DateJune 28, 2028

Laboratory DirectorJustin Abeyta

Laboratory Phone(520) 314-1400

Laboratory LocationCommunity Medical Services - East Broadway6802 E Broadway Blvd, Tucson, AZ 85710

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

LISA YAZZIE LAC

Counselor (Addiction (Substance Use Disorder))