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MEDMARK TREATMENT CENTERS MERRILLVILLE
NPI 1366838336
Clinic/Center - Methadone in Merrillville, IN

Active since April 07, 2015CLIA 15D2254315 · Waiver
8500 BROADWAY, SUITE H, MERRILLVILLE, IN 46410(219) 769-7710(219) 769-7758 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 28, 2023, Nov 7, 2022 and 1 more (4 updates tracked since 2021).

About Medmark Treatment Centers Merrillville NPPES

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

MEDMARK TREATMENT CENTERS MERRILLVILLE (NPI 1366838336) is a healthcare organization registered as a methadone in Merrillville, Indiana and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1366838336
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameNORTHWEST INDIANA TREATMENT CENTER, LLC
Location Address8500 BROADWAY, SUITE HMerrillville, IN 46410-7006
Mailing Address1720 Lakepointe Drive, Suite 117Lewisville, TX 75057-6425 · (214) 379-3000 · Fax (214) 853-9018
Phone(219) 769-7710
Fax(219) 769-7758
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateApril 7, 2015
Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1366838336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
8500 BROADWAY, Merrillville, IN 46410
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Other Names 1

Doing Business AsMedmark Treatment Centers Merrillville

Other Identifiers 1

Other1177-2-OTFIN · Substance Abuse

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 15D2254315

Northwest Indiana Treatment Center, LLC Medmark Treatment Centers Merrillville · Merrillville, IN
Active · expires Mar 1, 2028
CLIA Number15D2254315
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorCharles Motley
Laboratory Phone(219) 769-7710
Laboratory LocationNorthwest Indiana Treatment Center, LLC Medmark Treatment Centers Merrillville8500 Broadway, Suite H, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PAIN MANAGEMENT ASSOCIATES, P.C.
Chiropractor
8500 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925
LAKE COUNTY PEDIATRICS LLC
Pediatrics
8500 BROADWAY, STE E
MERRILLVILLE, IN 46410
Lake County (219) 736-9580
TUMI HEALTH LLC
Internal Medicine
8500 BROADWAY, STE A
MERRILLVILLE, IN 46410
Lake County (219) 472-0309
GEORGIA POLLY HILL
Counselor (Addiction (Substance Use Disorder))
8500 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 769-7710
DR. SEAN A. HORVATH D.C.
Chiropractor
8500 BROADWAY, STE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925
SOUTHLAKE PEDIATRICS
Pediatrics
8500 BROADWAY, SUITE F
MERRILLVILLE, IN 46410
Lake County (219) 736-9690
GLADYS HALL
Licensed Practical Nurse
8500 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 769-7710
DR. LYNN T POWELL D.C.
Chiropractor
8500 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925

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 Northwest Indiana Treatment Center, LLC's NPI number?

The NPI number for Northwest Indiana Treatment Center, LLC is 1366838336. It was assigned to this organization in the NPPES registry on April 7, 2015. The provider is doing business as Medmark Treatment Centers Merrillville.

Where is Northwest Indiana Treatment Center, LLC located?

Northwest Indiana Treatment Center, LLC is located at 8500 Broadway Suite H, Merrillville, IN 46410. The listed phone number is (219) 769-7710.

What is Northwest Indiana Treatment Center, LLC's specialty?

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

Does Northwest Indiana Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2254315) is associated with this NPI, valid through March 1, 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 Northwest Indiana Treatment Center, LLC 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.