LIMESTONE HEALTH LLC NPI 1659879187

NPI Information

NPI: 1659879187
Provider Name: LIMESTONE HEALTH, LLC

Doing Business As: MEDMARK TREATMENT CENTERS LAFAYETTE

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

Specialization: Methadone

Address:
4705 MEIJER CT
LAFAYETTE, IN
ZIP 47905
Phone: (765) 743-4400
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LIMESTONE HEALTH, LLC is a methadone clinic center in Lafayette, IN. 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. LIMESTONE HEALTH, LLC NPI is 1659879187. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Lafayette.

The provider's business location address is:

4705 MEIJER CT
LAFAYETTE, IN
ZIP 47905-684
Phone: (765) 743-4400

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 CLIA number assigned to this NPI record is 15D2145441 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2018 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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM2800X	Clinic/Center	Methadone			Yes

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

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