MEDMARK TREATMENT CENTERS CHAMPAIGN
NPI 1033460498
Clinic/Center - Methadone in Champaign, IL
NPI Status: Active since September 26, 2012
Contact Information
106 S COUNTRY FAIR DR STE C
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 373-8200
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 14D2254655
- CLIA Cert. Type: Other - NARCOTIC TRMT PROGRAM
- CLIA Exp. Date: 03-06-2028
About MEDMARK TREATMENT CENTERS CHAMPAIGN
This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Champaign, a provider established in Champaign, Illinois operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1033460498 assigned on September 2012. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Medmark Treatment Centers Champaign. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1033460498
- Provider Legal Name
- CHAMPAIGN TREATMENT CENTER, LLC
- Other Organization Name
- MEDMARK TREATMENT CENTERS CHAMPAIGN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 106 S COUNTRY FAIR DR STE C CHAMPAIGN, IL 61821
- Location Phone
- (217) 373-8200
- Mailing Address
- 106 S COUNTRY FAIR DR SUITE C CHAMPAIGN, IL 61821
- Mailing Phone
- (217) 373-8200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-26-2012
- Last Update Date
- 07-29-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2254655
- Facility Type
- Other - NARCOTIC TRMT PROGRAM
- Certificate Effective Date
- March 07, 2026
- Certificate Expiration Date
- March 06, 2028
- Laboratory Director
- RICHARD L. MAENZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medmark Treatment Centers Champaign to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033460498, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033460498, enumerated as an "organization" on September 26, 2012.
The provider is located at 106 S COUNTRY FAIR DR STE C CHAMPAIGN, IL 61821 and the phone number is (217) 373-8200.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
