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MEDMARK TREATMENT CENTERS OF PENNSYLVANIA INC NPI 1952854408


NPI Information

NPI: 1952854408
Provider Name: MEDMARK TREATMENT CENTERS OF PENNSYLVANIA, INC

Doing Business As: MEDMARK TREATMENT CENTERS BLAIRSVILLE PA

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

Specialization: Methadone

CLIA Number: 39D2121856

Address:
1984 ROUTE 22
BLAIRSVILLE, PA
ZIP 15717
Phone: (724) 459-4884
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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 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 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 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/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: 5/5/2024

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.