GLASS HEALTH PROGRAMS INC. NPI 1093071920

NPI Information

NPI: 1093071920
Provider Name: GLASS HEALTH PROGRAMS, INC.
Classification: Clinic/Center - 261QM2800X
Specialization: Methadone
Entity Type: Organization
Doing Business As: MEDMARK TREATMENT CENTERS - CHERRY HILL
CLIA Number: 21D2034079
Address: 1801 CHERRY HILL RD
BALTIMORE, MD
ZIP 21230
Phone: (410) 354-2800

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NPI Details

GLASS HEALTH PROGRAMS, INC. is a methadone clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GLASS HEALTH PROGRAMS, INC. NPI is 1093071920. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers - Cherry Hill.

The provider's business location address is:

1801 CHERRY HILL RD
BALTIMORE, MD
ZIP 21230
Phone: (410) 354-2800

The provider's authorized official is Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 21D2034079 - other - narcotics treatment prog with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) (HCPCS:G2074)

The enumeration date for this NPI number is 4/4/2012 and was last updated on 7/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	903985	MARYLAND	No
2	261QM2800X	Clinic/Center	Methadone	904748	MARYLAND	Yes
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	904748	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03919104	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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