NPI 1053069005

Community Medical Services Montana-Private, LLC

Organisation Methadone Clinic Roseville, MN

Practice location

Address: 2350 N Cleveland Ave, Roseville, MN 55113
Phone: (507) 850-1100
Fax: (651) 493-4247
Mailing address: 8444 N 90th St STE 100, Scottsdale, AZ 85258-4437

Authorised official

Name: Cindy Gaither
Title: Vp Revenue Cycle Mgmt
Phone: (602) 248-8886

Registered specialties (5)

Methadone Clinic Primary

Ambulatory Health Care Facilities Taxonomy 261QM2800X

Other Clinic/Center providers in Minnesota →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Minnesota →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Minnesota →

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

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI: 1053069005
Entity type: Organization
NPI issued: 17 Mar 2022
Record last updated: 22 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.