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MEDMARK TREATMENT CENTERS LOUISVILLE
NPI 1427639608
Clinic/Center - Rehabilitation, Substance Use Disorder in Louisville, KY

Active since April 19, 2021CLIA 18D2169460 · Waiver
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219(502) 434-4466(502) 434-4467 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jan 19, 2023, Apr 20, 2022 and 2 more (5 updates tracked since 2021).

About Medmark Treatment Centers Louisville NPPES

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

MEDMARK TREATMENT CENTERS LOUISVILLE (NPI 1427639608) is a healthcare organization registered as a rehabilitation, substance use disorder in Louisville, Kentucky and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1427639608
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBAYMARK HEALTH SERVICES OF KENTUCKY, INC.
Location Address4922 POPLAR LEVEL RDLouisville, KY 40219-1128
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(502) 434-4466
Fax(502) 434-4467
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateApril 19, 2021
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1427639608 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
4922 POPLAR LEVEL RD, Louisville, KY 40219
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Other Names 1

Doing Business AsMedmark Treatment Centers Louisville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 18D2169460

Baymark Health Services Of Kentucky, Inc Medmark Treatment Centers Louisville · Louisville, KY
Active · expires Jul 21, 2027
CLIA Number18D2169460
Laboratory TypeNarcotic Treatment Center
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorMr. Joshua Brown
Laboratory Phone(502) 515-0240
Laboratory LocationBaymark Health Services Of Kentucky, Inc Medmark Treatment Centers Louisville4922 Poplar Rd, Louisville, KY 40219
CLIA data matches this NPI record on: Name
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.
205 services13 patients

Other Providers at the Same Location NPPES 19

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

CIERA GRAYSON
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 515-0240
LEKEISHA HARRISON
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
DAVID JONATHON WILLOUGHBY LPN
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
JAMES A STONE
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
ASHLEY MICHELLE LATTIS
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
ALAN JOHN BOESCHEL
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
BEVERLY A GIRTON LPN
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566
TRAMEL INGRAM LPN
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Jefferson County (502) 434-5566

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 Kentucky, Inc.'s NPI number?

The NPI number for Baymark Health Services Of Kentucky, Inc. is 1427639608. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is doing business as Medmark Treatment Centers Louisville.

Where is Baymark Health Services Of Kentucky, Inc. located?

Baymark Health Services Of Kentucky, Inc. is located at 4922 Poplar Level Rd, Louisville, KY 40219. The listed phone number is (502) 434-4466.

What is Baymark Health Services Of Kentucky, 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 Kentucky, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2169460) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baymark Health Services Of Kentucky, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Baymark Health Services Of Kentucky, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baymark Health Services Of Kentucky, 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.