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Contact Information

COMMUNITY MEDICAL SERVICES IV LLC
3050 N NAVAJO DR
PRESCOTT VALLEY, AZ86314-8663
 Phone: 928-775-7088
 Fax: 928-775-7099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for COMMUNITY MEDICAL SERVICES IV LLC · (Female)

NPI # 1609004167
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2009
Last updated 06/23/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # BH-2862
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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