MEDMARK TREATMENT CENTERS OF PENNSYLVANIA INC. NPI 1952854408

NPI Information

  • NPI: 1952854408
  • Provider Name: MEDMARK TREATMENT CENTERS OF PENNSYLVANIA, INC.
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: MEDMARK TREATMENT CENTERS BLAIRSVILLE PA
  • CLIA Number: 39D2121856
  • Address: 1984 ROUTE 22
    BLAIRSVILLE, PA
    ZIP 15717
  • Phone: (724) 459-4884

Map and Directions

Get Directions

NPI Details

MEDMARK TREATMENT CENTERS OF PENNSYLVANIA, INC. is a methadone clinic center in Blairsville, 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. MEDMARK TREATMENT CENTERS OF PENNSYLVANIA, INC. NPI is 1952854408. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Blairsville Pa.

The provider's business location address is:

1984 ROUTE 22
BLAIRSVILLE, PA
ZIP 15717-264
Phone: (724) 459-4884
Fax: (724) 459-4886

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 39D2121856 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2016 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
1261QM2800XClinic/CenterMethadonePENNSYLVANIAYes

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI