MEDMARK TREATMENT CENTERS - SACRAMENTO INC NPI 1255419172

NPI Information

NPI: 1255419172
Provider Name: MEDMARK TREATMENT CENTERS - SACRAMENTO INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
7240 E SOUTHGATE DR
SUITES B, E, G
SACRAMENTO, CA
ZIP 95823
Phone: (916) 391-4293
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MEDMARK TREATMENT CENTERS - SACRAMENTO INC is a methadone clinic center in Sacramento, CA. 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. MEDMARK TREATMENT CENTERS - SACRAMENTO INC NPI is 1255419172. The provider is registered as an organization entity type.

The provider's business location address is:

7240 E SOUTHGATE DR
SUITES B, E, G
SACRAMENTO, CA
ZIP 95823-627
Phone: (916) 391-4293
Fax: (916) 391-4247

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/1/2024.

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	34-09	CALIFORNIA	Yes

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	9390237	OTHER	CALIFORNIA	MEDICAL
2	34-09	OTHER	CALIFORNIA	OTP LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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