MEDMARK TREATMENT CENTERS MORGANTOWN
NPI 1174062731
Clinic/Center - Rehabilitation, Substance Use Disorder in Morgantown, WV

Active since February 15, 2017CLIA 51D2130349 · Waiver
53 DON KNOTTS BLVD, MORGANTOWN, WV 26508(304) 284-0025(304) 284-0031 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Jan 19, 2023, Apr 20, 2022 and 4 more (7 updates tracked since 2017).

About Medmark Treatment Centers Morgantown NPPES

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

MEDMARK TREATMENT CENTERS MORGANTOWN (NPI 1174062731) is a healthcare organization registered as a rehabilitation, substance use disorder in Morgantown, West Virginia and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1174062731
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Location Address53 DON KNOTTS BLVDMorgantown, WV 26508-6838
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 379-3324
Fax(304) 284-0031
Organization SubpartYesParent: Baymark Health Services Of West Virginia, Inc
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateFebruary 15, 2017
Last NPPES UpdateJuly 29, 20247 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1174062731 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
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
53 DON KNOTTS BLVD, Morgantown, WV 26508

Other Names 1

Doing Business AsMedmark Treatment Centers Morgantown

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 51D2130349

Baymark Health Services Of West Virginia Inc Medmark Treatment Centers Morgantown · Morgantown, WV
Active · expires May 7, 2027
CLIA Number51D2130349
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorDr. Norihito Onishi
Laboratory Phone(304) 284-0025
Laboratory LocationBaymark Health Services Of West Virginia Inc Medmark Treatment Centers Morgantown53 Don Knotts Blvd, Morgantown, WV 26508
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.
324 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.
28 services12 patients

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Methadone)
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Counselor (Addiction (Substance Use Disorder))
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Counselor (Addiction (Substance Use Disorder))
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Family Medicine (Addiction Medicine)
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Rehabilitation Counselor
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Licensed Practical Nurse
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Counselor (Addiction (Substance Use Disorder))
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508
Clinic/Center (Rehabilitation, Substance Use Disorder)
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508

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 Baymark Health Services Of West Virginia, Inc.'s NPI number?

The NPI number for Baymark Health Services Of West Virginia, Inc. is 1174062731. It was assigned to this organization in the NPPES registry on February 15, 2017. The provider is doing business as Medmark Treatment Centers Morgantown.

Where is Baymark Health Services Of West Virginia, Inc. located?

Baymark Health Services Of West Virginia, Inc. is located at 53 Don Knotts Blvd, Morgantown, WV 26508. The listed phone number is (304) 284-0025.

What is Baymark Health Services Of West Virginia, Inc.'s specialty?

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

Does Baymark Health Services Of West Virginia, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2130349) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baymark Health Services Of West Virginia, Inc. was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.