COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
NPI 1891534418
Clinic/Center - Mental Health (Including Community Mental Health Center) in Everett, WA

Active since May 22, 2024CLIA 50D2318535 · Waiver
5130 EVERGREEN WAY, EVERETT, WA 98203(602) 248-8886 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Medical Services Montana-private, Llc NPPES

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

COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC (NPI 1891534418), doing business as Cms Everett, is a healthcare organization registered as a mental health (including community mental health center) in Everett, Washington and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Alejandra G Vilchis, Cred Manager, as its authorized official.

NPPES Registry Identity

NPI1891534418
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
Location Address5130 EVERGREEN WAYEverett, WA 98203-2875
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886
Organization SubpartNo
Authorized OfficialAlejandra G VilchisCred Manager · (602) 248-8886
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1891534418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
5130 EVERGREEN WAY, Everett, WA 98203

Other Names 1

Doing Business AsCms Everett

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 50D2318535

Community Medical Services - Everett · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2318535
Laboratory TypeOutpatient Treatment Cent
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJustin Abeyta
Laboratory Phone(425) 683-0800
Laboratory LocationCommunity Medical Services - Everett5130 Evergreen Way, Everett, WA 98203
CLIA data matches this NPI record on: Address
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.

Counselor (Addiction (Substance Use Disorder))
5130 EVERGREEN WAY
EVERETT, WA 98203
Nurse Practitioner (Family)
5130 EVERGREEN WAY
EVERETT, WA 98203
Licensed Practical Nurse
5130 EVERGREEN WAY
EVERETT, WA 98203
Registered Nurse
5130 EVERGREEN WAY
EVERETT, WA 98203
Registered Nurse
5130 EVERGREEN WAY
EVERETT, WA 98203
Nurse Practitioner (Psychiatric/Mental Health)
5130 EVERGREEN WAY
EVERETT, WA 98203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Medical Services Montana-Private, LLC's NPI number?

The NPI number for Community Medical Services Montana-Private, LLC is 1891534418. It was assigned to this organization in the NPPES registry on May 22, 2024. The provider is doing business as Cms Everett.

Where is Community Medical Services Montana-Private, LLC located?

Community Medical Services Montana-Private, LLC is located at 5130 Evergreen Way, Everett, WA 98203. The listed phone number is (602) 248-8886.

What is Community Medical Services Montana-Private, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Community Medical Services Montana-Private, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2318535) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Medical Services Montana-Private, LLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.