MEDMARK TREATMENT CENTERS WACO
NPI 1083931562
Clinic/Center - Rehabilitation, Substance Use Disorder in Waco, TX

Q: What is Medmark Treatment Centers Of Texas, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since April 23, 2010CLIA 45D2026181 · Waiver

2210 WASHINGTON AVE, WACO, TX 76701(254) 755-6411(254) 755-6422 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Feb 21, 2023, Apr 19, 2022 and 5 more (8 updates tracked since 2017).

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About Medmark Treatment Centers Waco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDMARK TREATMENT CENTERS WACO (NPI 1083931562) is a healthcare organization registered as a rehabilitation, substance use disorder in Waco, Texas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1083931562

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameMEDMARK TREATMENT CENTERS OF TEXAS, INC.

Location Address2210 WASHINGTON AVEWaco, TX 76701-1019

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018

Phone(254) 755-6411

Fax(254) 755-6422

Organization SubpartNo

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateApril 23, 2010

Last NPPES UpdateJuly 29, 20248 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1083931562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in TX · 1000028

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 0000058 (TX), 1000028 (TX)

2210 WASHINGTON AVE, Waco, TX 76701

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Other Names 1

Doing Business AsMedmark Treatment Centers Waco

Other Identifiers 2

Medicaid285947201TX

Other1000028TX · St License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2026181

Medmark Treatment Centers Of Texas, Inc Dba Medmark Treatment Centers Waco · Waco, TX

Active · expires Jun 23, 2027

CLIA Number45D2026181

Laboratory TypeNarcotic Trtmt Prgm

Certificate Effective DateJune 24, 2025

Certificate Expiration DateJune 23, 2027

Laboratory DirectorHarold Lewis

Laboratory Phone(254) 755-6411

Laboratory LocationMedmark Treatment Centers Of Texas, Inc Dba Medmark Treatment Centers Waco2210 Washington Ave, Waco, TX 76701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

400 services11 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

21 services11 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA DENISE HENSON LPN

Licensed Practical Nurse