COMMUNITY MEDICAL SERVICES IV LLC; NPI #1609004167

Contact Information

COMMUNITY MEDICAL SERVICES IV LLC

3050 N NAVAJO DR
PRESCOTT VALLEY, AZ 86314-8663

Phone: 928-775-7088
Fax: 928-775-7099
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for COMMUNITY MEDICAL SERVICES IV LLC

NPI Number 1609004167

LBN Legal business name COMMUNITY MEDICAL SERVICES IV LLC

Authorized official KEELY TORRES - (QUALITY IMPROVEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/23/2009

Last updated 06/23/2009 - About 17 years ago

Identifiers

License #

BH-2862

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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