Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Community Medical Services Montana Private LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1205360153

Community Medical Services Montana Private LLC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2017.

Licensed in
ND
In the registry since
2017
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 28th St S Ste C
Fargo, ND 58103-8743
Phone: (701) 404-1100
Fax: (701) 540-6498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 9003 (ND)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 9003 (ND)
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1205360153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Gaither — Vp Revenue Cycle Mgmt · (602) 248-8886
NPI enumeratedApril 18, 2017
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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