CMS WEST ALLIS
NPI 1790496487
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 1790496487. It was assigned to this organization in the NPPES registry on December 13, 2022. The provider is doing business as Cms West Allis.

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 December 13, 2022

2814 S 108TH ST, WEST ALLIS, WI 53227(414) 885-3525(262) 643-4617 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2024, Dec 13, 2022 (2 updates tracked since 2022).

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About Cms West Allis NPPES

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

CMS WEST ALLIS (NPI 1790496487) is a healthcare organization registered as a methadone in West Allis, Wisconsin and active in the NPI registry since December 2022. The organization lists Cindy Gaither, Vice President Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1790496487

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 · (160) 248-8886

Phone(414) 885-3525

Fax(262) 643-4617

Organization SubpartNo

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

Enumeration DateDecember 13, 2022

Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1790496487 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 AsCms West Allis

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))