COMMUNITY MEDICAL SERVICES
NPI 1780158261
Clinic/Center - Methadone in West Allis, WI

Q: What is Premier Care Of Wisconsin, LLC.'s NPI number?

The NPI number for Premier Care Of Wisconsin, LLC. is 1780158261. It was assigned to this organization in the NPPES registry on January 17, 2019. The provider is doing business as Community Medical Services.

Q: What is Premier Care Of Wisconsin, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since January 17, 2019CLIA 52D2160746 · Waiver

2814 S 108TH ST, WEST ALLIS, WI 53227(920) 926-0101 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2024, Oct 20, 2021, Sep 30, 2021 and 3 more (6 updates tracked since 2019).

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About Community Medical Services NPPES

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

COMMUNITY MEDICAL SERVICES (NPI 1780158261) is a healthcare organization registered as a methadone in West Allis, Wisconsin and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Cindy Gaither, Vp Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1780158261

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NamePREMIER CARE OF WISCONSIN, LLC.

Location Address2814 S 108TH STWest Allis, WI 53227-3224

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 248-8999

Phone(920) 926-0101

Organization SubpartNo

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

Enumeration DateJanuary 17, 2019

Last NPPES UpdateFebruary 10, 20246 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1780158261 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

2814 S 108TH ST, West Allis, WI 53227

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Other Names 1

Doing Business AsCommunity Medical Services

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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 52D2160746

Premier Care Of Wisconsin, LLC Dba Community Medical Service · West Allis, WI

Active · expires Jan 16, 2027

CLIA Number52D2160746

Laboratory TypeOutpatient Treatment

Certificate Effective DateJanuary 17, 2025

Certificate Expiration DateJanuary 16, 2027

Laboratory DirectorMr. Justin Abeyta

Laboratory Phone(602) 796-8973

Laboratory LocationPremier Care Of Wisconsin, LLC Dba Community Medical Service2814 S 108th Street, West Allis, WI 53227

CLIA data matches this NPI record on: Address Name

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.

746 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.

23 services12 patients

Other Providers at the Same Location NPPES 20

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

LASHAWNA THOMAS

Counselor (Addiction (Substance Use Disorder))