COMMUNITY MEDICAL SERVICES IV LLC
NPI 1619172004
Non-emergency Medical Transport (VAN) in Phoenix, AZ

NPI Status: Active since June 18, 2007

Contact Information

3825 N 24TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 248-8886
Fax: (602) 248-8999

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  • Organization
  • Non-emergency Medical Transport (VAN)
  • CLIA Number: 52D2295175
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT PROG
  • CLIA Exp. Date: 12-05-2025

About COMMUNITY MEDICAL SERVICES IV LLC

This page provides the complete NPI Profile along with additional information for Community Medical Services Iv Llc, a provider established in Phoenix, Arizona operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1619172004 assigned on June 2007. The practitioner's primary taxonomy code is 343900000X with license number BH-2701 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Keely N. Torres (Quality Improvement)

NPI
1619172004
Provider Name
COMMUNITY MEDICAL SERVICES IV LLC
Entity Type
Organization
Location Address
3825 N 24TH ST PHOENIX, AZ 85016
Location Phone
(602) 248-8886
Location Fax
(602) 248-8999
Mailing Address
3825 N 24TH ST PHOENIX, AZ 85016
Mailing Phone
(602) 248-8886
Mailing Fax
(602) 248-8999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2007
Last Update Date
06-25-2009
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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

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
BH-2701
License State
AZ
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. KEELY N. TORRES

Authorized Official Title
QUALITY IMPROVEMENT
Authorized Official Phone
(602) 248-8886

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
961898MEDICAID (05)AZ 

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
52D2295175
Facility Type
Other - OUTPATIENT TREATMENT PROG
Certificate Effective Date
December 06, 2023
Certificate Expiration Date
December 05, 2025
Laboratory Director
JUSTIN M. ABEYTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Medical Services Iv 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 IV LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619172004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262927400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 7 + 4 + 0 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1619172004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255496469DR. GEORGE STAVROS MD
Individual
Family Medicine (Addiction Medicine)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 248-8886
1851725212MRS. MINDY BESS LACASSE LAC
Individual
Counselor (Professional)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1790119063MRS. MICHELE DONALDSON HOLBEN LASAC
Individual
Counselor (Addiction (Substance Use Disorder))3825 N 24TH ST
PHOENIX, AZ 85016
(602) 248-8886
1891129029MS. SHANNAN ZELL BOGNER BHT
Individual
Case Manager/Care Coordinator3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1558795419MS. ADRIANA REYES
Individual
Case Manager/Care Coordinator3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1659705416MS. SUZANNE VIVIAN BROWN MA
Individual
Case Manager/Care Coordinator3825 N 24TH ST
PHOENIX, AZ 85016
(602) 866-9378
1366507592 RICHARD E CHRISTENSEN PA
Individual
Physician Assistant (Medical)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 248-8886
1609361492 LAUREN MICHELLE NIVISON FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1912933532 SCOTT JOHN WOFFINDEN PA-C, PT
Individual
Physician Assistant3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1386726693COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Organization
Clinic/Center (Methadone)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 248-8886
1942364732COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Organization
Clinic/Center (Methadone)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 955-7997
1467517672DR. JERRY BAINS MD
Individual
Family Medicine (Addiction Medicine)3825 N 24TH ST
PHOENIX, AZ 85016
(602) 248-8886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619172004, enumerated in the NPI registry as an "organization" on June 18, 2007

The provider is located at 3825 N 24th St Phoenix, Az 85016 and the phone number is (602) 248-8886

This medical organization specializes in Non-emergency Medical Transport (VAN) with taxonomy code 343900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 52D2295175 for a "other - outpatient treatment prog" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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