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POLARIS RENEWAL SERVICES INC. NPI 1619223757


NPI Information

NPI: 1619223757
Provider Name: POLARIS RENEWAL SERVICES, INC.

Doing Business As: MEDMARK TREATMENT CENTERS PERRYOPOLIS

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
3591 PITTSBURGH RD
PERRYOPOLIS, PA
ZIP 15473
Phone: (724) 736-8390
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POLARIS RENEWAL SERVICES, INC. is a methadone clinic center in Perryopolis, PA. 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. POLARIS RENEWAL SERVICES, INC. NPI is 1619223757. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Perryopolis.

The provider's business location address is:

3591 PITTSBURGH RD
PERRYOPOLIS, PA
ZIP 15473-307
Phone: (724) 736-8390

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 7/26/2012 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

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: 5/5/2024

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