Organization · NPI-2

Community Medical Services Montana Private LLC

Clinic/Center, Methadone Clinic · Westminster, CO

NPI number1093582579

StatusActive

Last updated in NPPESMar 8, 2024

Details

NPI: 1093582579
Entity type: Organization (NPI-2)
Legal business name: Community Medical Services Montana Private LLC
Organization subpart: No
Enumeration date: Dec 5, 2023
Certification date: Mar 8, 2024
Last updated: Mar 8, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM2800X	Clinic/Center, Methadone Clinic	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–

Other names

Cms Westminster (Doing Business As)

Practice location

7500 Sheridan Blvd
Westminster, CO 80003-6209

Phone 720-853-4230

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Phone 480-977-1438

Authorized official

Alex Vilchis
Credentialing Provider Data Manager
4809771438

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