COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
NPI 1942704671
Clinic/Center - Methadone in Safford, AZ

NPI Status: Active since March 19, 2018

Contact Information

102 EAST MAIN STREET
SAFFORD, AZ
ZIP 85546
Phone: (602) 248-8886
Fax: (602) 248-8999

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance
  • CLIA Number: 03D2142698
  • CLIA Cert. Type: Other - OTC
  • CLIA Exp. Date: 01-17-2026

About COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

This page provides the complete NPI Profile along with additional information for Community Medical Services Arizona-private, Llc, a provider established in Safford, Arizona operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1942704671 assigned on March 2018. The practitioner's primary taxonomy code is 261QM2800X with license number OTC8746 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. Community Medical Services Arizona-private, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Nick Stavros (Ceo)

NPI
1942704671
Provider Legal Name
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
102 EAST MAIN STREET SAFFORD, AZ 85546
Location Phone
(602) 248-8886
Location Fax
(602) 248-8999
Mailing Address
8444 N 90TH ST STE 100 SCOTTSDALE, AZ 85258
Mailing Phone
(602) 248-8886
Mailing Fax
(602) 248-8999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2018
Last Update Date
08-21-2025
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Location Map

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

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
OTC8746
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

OTC8746 (AZ)
2251S00000XAgencies

Community/Behavioral Health

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO

*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

NICK STAVROS

Authorized Official Title
CEO
Authorized Official Phone
(602) 248-8886

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
03D2142698
Facility Type
Other - OTC
Certificate Effective Date
January 18, 2024
Certificate Expiration Date
January 17, 2026
Laboratory Director
JUSTIN ABEYTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Medical Services Arizona-private, 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 ARIZONA-PRIVATE, 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 1942704671, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 4 → 8 7 → 14 → 5 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 1 + 4 + 0 + 8 + 6 + 1 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1942704671.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942704671, enumerated as an "organization" on March 19, 2018.

The provider is located at 102 EAST MAIN STREET SAFFORD, AZ 85546 and the phone number is (602) 248-8886.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc. and Blue. Please consult your insurance carrier or call the provider to verify.