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MEDMARK TREATMENT CENTERS SPRINGDALE
NPI 1437557899
Clinic/Center - Methadone in Springdale, AR

Active since December 16, 2014CLIA 04D2253098 · Waiver
1607 S OLD MISSOURI RD, SPRINGDALE, AR 72764(479) 306-4480(479) 306-4488 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 29, 2024, Jan 19, 2023 and 1 more (4 updates tracked since 2021).

About Medmark Treatment Centers Springdale NPPES

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

MEDMARK TREATMENT CENTERS SPRINGDALE (NPI 1437557899) is a healthcare organization registered as a methadone in Springdale, Arkansas and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1437557899
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSPRINGDALE TREATMENT CENTER, LLC
Location Address1607 S OLD MISSOURI RDSpringdale, AR 72764-5723
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300
Phone(479) 306-4480
Fax(479) 306-4488
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateDecember 16, 2014
Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1437557899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 00167 (AR)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1607 S OLD MISSOURI RD, Springdale, AR 72764
Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers Springdale

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 04D2253098

Medmark Treatment Centers Springdale Springdale Treatment Center, LLC · Springdale, AR
Active · expires Feb 16, 2028
CLIA Number04D2253098
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Thomas Atkinson
Laboratory Phone(479) 306-4480
Laboratory LocationMedmark Treatment Centers Springdale Springdale Treatment Center, LLC1607 S Old Missouri Road, Springdale, AR 72764
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.

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
963 services11 patients
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.
219 services12 patients

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.

WASHINGTON REGIONAL MEDICAL SYSTEM
Family Medicine
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 463-4887
MATTHEW B. TOTTEN MD
Family Medicine
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 463-4887
CAROLYN NUTTER PA
Physician Assistant
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 463-4887
CASSIE MOTA
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 333-9472
KRISTINA MARIE MUTTER
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 333-9472
MRS. AMBER SINGLETON CADC,PRSS
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 333-9472
HOLLY DUNEVANT CIT
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 306-4480
MEGAN RAE MCCLURE
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Washington County (479) 306-4480

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 Springdale Treatment Center, LLC's NPI number?

The NPI number for Springdale Treatment Center, LLC is 1437557899. It was assigned to this organization in the NPPES registry on December 16, 2014. The provider is doing business as Medmark Treatment Centers Springdale.

Where is Springdale Treatment Center, LLC located?

Springdale Treatment Center, LLC is located at 1607 S Old Missouri Rd, Springdale, AR 72764. The listed phone number is (479) 306-4480.

What is Springdale Treatment Center, LLC's specialty?

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

Does Springdale Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2253098) is associated with this NPI, valid through February 16, 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 Springdale Treatment Center, LLC was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.