1. Home
  2. Directory
  3. Maryland
  4. Towson
  5. Clinic Center
  6. NPI Profile

MEDMARK TREATMENT CENTERS-BC DETENTION CENTER
NPI 1497464648
Clinic/Center - Methadone in Towson, MD

Active since November 16, 2022CLIA 21D2297101 · Waiver
720 BOSLEY AVE, TOWSON, MD 21204(667) 335-1338 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, Nov 16, 2022 (3 updates tracked since 2022).

About Medmark Treatment Centers-bc Detention Center NPPES

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

MEDMARK TREATMENT CENTERS-BC DETENTION CENTER (NPI 1497464648) is a healthcare organization registered as a methadone in Towson, Maryland and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1497464648
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameGLASS HEALTH PROGRAMS, INC.
Location Address720 BOSLEY AVETowson, MD 21204-4011
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (469) 470-4783
Phone(667) 335-1338
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateNovember 16, 2022
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1497464648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
720 BOSLEY AVE, Towson, MD 21204
Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers-bc Detention Center

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 21D2297101

Glass Health Programs Inc · Towson, MD
Active · expires Jan 9, 2028
CLIA Number21D2297101
Laboratory TypeNarcotic Tx Prog
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorYashica Ruffin
Laboratory Phone(667) 335-1338
Laboratory LocationGlass Health Programs Inc720 Bosley Avenue, Towson, MD 21204
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 6

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

MS. TYRONNIA AARONE BRANDON CRNP
Nurse Practitioner (Adult Health)
720 BOSLEY AVE
TOWSON, MD 21204
Baltimore County (410) 512-3379
MRS. LEELA MARIAM THOUNDAYIL PA-C
Physician Assistant
720 BOSLEY AVE
TOWSON, MD 21204
Baltimore County (410) 512-3200
MR. MELVIN T. ZEIDERS III CRNP
Nurse Practitioner (Acute Care)
720 BOSLEY AVE
TOWSON, MD 21204
Baltimore County (410) 512-3200
CHRISTY PARAYIL
Social Worker
720 BOSLEY AVE
TOWSON, MD 21204
Baltimore County (410) 512-3285
ADAEZE NWANKWO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
720 BOSLEY AVE
BALTIMORE, MD 21204
Baltimore County (410) 512-3200
NNEKA IMMACULATE ONUORAH
Nurse Practitioner (Psychiatric/Mental Health)
720 BOSLEY AVE
TOWSON, MD 21204
Baltimore County (410) 512-3200

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 Glass Health Programs, Inc.'s NPI number?

The NPI number for Glass Health Programs, Inc. is 1497464648. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Medmark Treatment Centers-Bc Detention Center.

Where is Glass Health Programs, Inc. located?

Glass Health Programs, Inc. is located at 720 Bosley Ave, Towson, MD 21204. The listed phone number is (667) 335-1338.

What is Glass Health Programs, Inc.'s specialty?

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

Does Glass Health Programs, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2297101) is associated with this NPI, valid through January 9, 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 Glass Health Programs, 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.