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LIMESTONE HEALTH LLC NPI 1902304447


NPI Information

NPI: 1902304447
Provider Name: LIMESTONE HEALTH, LLC

Doing Business As: MEDMARK TREATMENT CENTERS BLOOMINGTON

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

Specialization: Methadone

CLIA Number: 15D2145439

Address:
2100 S LIBERTY DR STE A
BLOOMINGTON, IN
ZIP 47403
Phone: (765) 743-4400
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LIMESTONE HEALTH, LLC is a methadone clinic center in Bloomington, 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 1902304447. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Bloomington.

The provider's business location address is:

2100 S LIBERTY DR STE A
BLOOMINGTON, IN
ZIP 47403-147
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 15D2145439 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM2800XClinic/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: 4/28/2024

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