CHAMPAIGN TREATMENT CENTER, LLC
NPI 1033460498
Clinic/Center - Rehabilitation, Substance Use Disorder in Champaign, IL
About Champaign Treatment Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAMPAIGN TREATMENT CENTER, LLC (NPI 1033460498), doing business as Medmark Treatment Centers Champaign, is a healthcare organization registered as a rehabilitation, substance use disorder in Champaign, Illinois and active in the NPI registry since September 2012. The organization lists Bruce Jarvie, Vp, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Champaign Treatment Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Champaign Treatment Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Champaign Treatment Center, LLC's NPI number?
The NPI number for Champaign Treatment Center, LLC is 1033460498. It was assigned to this organization in the NPPES registry on September 26, 2012. The provider is doing business as MedMark Treatment Centers Champaign.
Where is Champaign Treatment Center, LLC located?
Champaign Treatment Center, LLC is located at 106 S Country Fair Dr Ste C, Champaign, IL 61821. The listed phone number is (217) 373-8200.
What is Champaign Treatment Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Champaign Treatment Center, LLC enrolled in Medicare?
Yes. Champaign Treatment Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Champaign Treatment Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Champaign Treatment Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Champaign Treatment Center, LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Champaign Treatment Center, Llc · NPI 1033460498
Rehabilitation, Substance Use Disorder organization in Champaign, Illinois. Organization record, active in the CMS NPPES registry since September 26, 2012.
## Identity
- **NPI:** 1033460498 (Entity type: Organization)
- **Enumerated:** September 26, 2012
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** MedMark Treatment Centers Champaign (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Bruce Jarvie, VP, TREASURER
## Practice location
- **Address:** 106 S COUNTRY FAIR DR STE C, Champaign, IL 61821-3064
- **Phone:** (217) 373-8200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033460498) · Data from the CMS NPPES public registry.