Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premier Care of Wisconsin, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1720701949

Premier Care of Wisconsin, LLC is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
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

4802 E Broadway
Madison, WI 53716-4141
Phone: (608) 889-7500
Fax: (480) 687-7361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
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 number1720701949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Gaither — Vice President Revenue Cycle Mgmt · (602) 248-8886
Other names Community Medical Services Madison On Broadway; Community Medical Services Madison On Broadway
NPI enumeratedSeptember 22, 2022
Last updated in NPPESFebruary 10, 2024
Certification dateFebruary 10, 2024
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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