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BAYMARK HEALTH SERVICES OF KENTUCKY INC. NPI 1427639608


NPI Information

NPI: 1427639608
Provider Name: BAYMARK HEALTH SERVICES OF KENTUCKY, INC.

Doing Business As: MEDMARK TREATMENT CENTERS LOUISVILLE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 18D2169460

Address:
4922 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40219
Phone: (502) 434-4466
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BAYMARK HEALTH SERVICES OF KENTUCKY, INC. is a rehabilitation and substance use disorder clinic center in Louisville, KY. BAYMARK HEALTH SERVICES OF KENTUCKY, INC. NPI is 1427639608. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Louisville.

The provider's business location address is:

4922 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40219-128
Phone: (502) 434-4466
Fax: (502) 434-4467

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3330.

The CLIA number assigned to this NPI record is 18D2169460 - other - narcotic treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 2/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.