MEDMARK TREATMENT CENTERS MORGANTOWN - NPI 1255047759 - Family Medicine in Morgantown, WV

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

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

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About Medmark Treatment Centers Morgantown NPPES

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

MEDMARK TREATMENT CENTERS MORGANTOWN (NPI 1255047759) is a healthcare organization registered as an addiction medicine in Morgantown, West Virginia and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1255047759

Entity TypeOrganization

Primary Taxonomy207QA0401X

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 · (469) 470-4779 · Fax (214) 481-7740

Phone(304) 284-0025

Fax(304) 284-0031

Organization SubpartNo

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

Enumeration DateJanuary 27, 2023

Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1255047759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X

Also ListedLicensed Practical NurseTaxonomy 164W00000X

Also ListedPeer SpecialistTaxonomy 175T00000X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

53 DON KNOTTS BLVD, Morgantown, WV 26508

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Other Names 1

Doing Business AsMedmark Treatment Centers Morgantown

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 36D2163182

Baymark Health Services Of Ohio, Inc Dba Medmark Treatment Centers Columbus North Oh · Columbus, OH

Active · expires Mar 7, 2027

CLIA Number36D2163182

Laboratory TypeNarcotic Treatment Progra

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorMeleah Naylor

Laboratory Phone(469) 470-4779

Laboratory LocationBaymark Health Services Of Ohio, Inc Dba Medmark Treatment Centers Columbus North Oh45 Lazelle Road East, Columbus, OH 43235

CLIA data matches this NPI record on: Phone

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

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.

VALLEY ALLIANCE TREATMENT SERVICES

Clinic/Center (Methadone)