GLASS HEALTH PROGRAMS INC. NPI 1528325420

NPI Information

NPI: 1528325420
Provider Name: GLASS HEALTH PROGRAMS, INC.
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: MEDMARK TREATMENT CENTERS - TIMONIUM
CLIA Number: 21D2034080
Address: 2 W AYLESBURY RD
TIMONIUM, MD
ZIP 21093
Phone: (410) 561-9591

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NPI Details

GLASS HEALTH PROGRAMS, INC. is a rehabilitation and substance use disorder clinic center in Timonium, MD. GLASS HEALTH PROGRAMS, INC. NPI is 1528325420. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers - Timonium.

The provider's business location address is:

2 W AYLESBURY RD
TIMONIUM, MD
ZIP 21093-101
Phone: (410) 561-9591
Fax: (410) 561-9396

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 21D2034080 - other - narcotic 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 4/16/2012 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		MARYLAND	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	39191305	MEDICAID	MARYLAND
2	905973	OTHER	MARYLAND	DHMH

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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