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MEDMARK TREATMENT CENTERS - MT. VERNON
NPI 1154789014
Clinic/Center - Methadone in Baltimore, MD

Active since February 08, 2016CLIA 21D2115777 · Waiver
817 N CALVERT ST FL 1, BALTIMORE, MD 21202(443) 290-6424(410) 528-4509 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Apr 3, 2024, Jan 19, 2023 and 6 more (9 updates tracked since 2016).

About Medmark Treatment Centers - Mt. Vernon NPPES

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

MEDMARK TREATMENT CENTERS - MT. VERNON (NPI 1154789014) is a healthcare organization registered as a methadone in Baltimore, Maryland and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1154789014
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameGLASS HEALTH PROGRAMS, INC.
Location Address817 N CALVERT ST FL 1Baltimore, MD 21202-3705
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(443) 290-6424
Fax(410) 528-4509
Organization SubpartYesParent: Medmark Services
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateFebruary 8, 2016
Last NPPES UpdateJuly 29, 20249 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1154789014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

817 N CALVERT ST FL 1, Baltimore, MD 21202
Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers - Mt. Vernon

Other Identifiers 1

Other906184MD · Md Dhmh

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 21D2115777

Glass Health Programs, Inc Dba Mtc Mt Vernon · Baltimore, MD
Active · expires Jul 12, 2028
CLIA Number21D2115777
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorYashica Ruffin
Laboratory Phone(443) 290-6424
Laboratory LocationGlass Health Programs, Inc Dba Mtc Mt Vernon817 N Calvert Street, Baltimore, MD 21202
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

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.
444 services15 patients

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 Glass Health Programs, Inc.'s NPI number?

The NPI number for Glass Health Programs, Inc. is 1154789014. It was assigned to this organization in the NPPES registry on February 8, 2016. The provider is doing business as Medmark Treatment Centers - Mt. Vernon.

Where is Glass Health Programs, Inc. located?

Glass Health Programs, Inc. is located at 817 N Calvert St Fl 1, Baltimore, MD 21202. The listed phone number is (443) 290-6424.

What is Glass Health Programs, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Glass Health Programs, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2115777) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glass Health Programs, Inc. was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.