MEDMARK TREATMENT CENTERS MORGANTOWN
NPI 1477131142
Clinic/Center - Rehabilitation, Substance Use Disorder in Morgantown, WV

NPI Status: Active since April 01, 2021

Contact Information

53 DON KNOTTS BLVD
MORGANTOWN, WV
ZIP 26508
Phone: (304) 284-0025

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder
CLIA Number: 51D2130349
CLIA Cert. Type: Other - NARCOTIC TREATMENT PROGRA
CLIA Exp. Date: 05-07-2027

About MEDMARK TREATMENT CENTERS MORGANTOWN

This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Morgantown, a provider established in Morgantown, West Virginia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1477131142 assigned on April 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Medmark Treatment Centers Morgantown. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI: 1477131142
Provider Legal Name: BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Other Organization Name: MEDMARK TREATMENT CENTERS MORGANTOWN
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 53 DON KNOTTS BLVD MORGANTOWN, WV 26508
Location Phone: (304) 284-0025
Mailing Address: 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone: (214) 379-3300
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-01-2021
Last Update Date: 07-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: BRUCE JARVIE
Authorized Official Title: VP, TREASURER
Authorized Official Phone: (214) 379-3300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 51D2130349
Facility Type: Other - NARCOTIC TREATMENT PROGRA
Certificate Effective Date: May 08, 2025
Certificate Expiration Date: May 07, 2027
Laboratory Director: DR. NORIHITO ONISHI
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Medmark Treatment Centers Morgantown to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477131142, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 2 + 3 + 2 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1477131142.