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Community Medical Services Arizona-Private, LLC

Methadone Clinic in Lake Havasu City, AZ · enumerated 2019 · authorized official Nick Stavros, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396204921

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Registry record

Entity type Organization (Type 2)
Legal business name Community Medical Services Arizona-Private, LLC
Other name <Unavail>
Practice address 329 South Lake Havasu Avenue, Lake Havasu City, AZ, 86403
Fax (928) 302-3615
Enumeration date Mar 13, 2019
Last updated in NPPES May 18, 2026

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM2800X Methadone Clinic Ambulatory Health Care Facilities Primary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Nick Stavros
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Community Medical Services Arizona-Private, LLC?
NPPES lists Nick Stavros (Ceo) as the authorized official for this organization.
What is the NPI number for Community Medical Services Arizona-Private, LLC?
The NPI for Community Medical Services Arizona-Private, LLC is 1396204921, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-18.