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MEDMARK TREATMENT SERVICES, INC.
NPI 1548505639
Clinic/Center - Methadone in Vallejo, CA

Active since November 30, 2012
1628 BROADWAY ST, VALLEJO, CA 94590(707) 649-8300 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 29, 2024, Apr 20, 2022, Jan 12, 2021 and 1 more (4 updates tracked since 2020).

About Medmark Treatment Services, Inc. NPPES

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

MEDMARK TREATMENT SERVICES, INC. (NPI 1548505639) is a healthcare organization registered as a methadone in Vallejo, California and active in the NPI registry since November 2012. The organization lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1548505639
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameMEDMARK TREATMENT SERVICES, INC.
Location Address1628 BROADWAY STVallejo, CA 94590-2405
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(707) 649-8300
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateNovember 30, 2012
Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1548505639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in CA · 28-04
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1628 BROADWAY ST, Vallejo, CA 94590
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Other Providers at the Same Location NPPES 15

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

MRS. DIANNE LYNN MILLER LVN
Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 246-2783
MARQUITA KING
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST, B
VALLEJO, CA 94590
Solano County (707) 649-8300
AMINAH HIM
Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300
CEOLA RENEE FARMER
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300
MS. PUNEET GREWAL
Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300
KATHERINE FRANK CPT-1
Specialist/Technologist, Other
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300
ZAIN SINGH NAGRA
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300
ANGELICA MENDOZA MEDICAL ASSISTANT
Specialist/Technologist, Other
1628 BROADWAY ST
VALLEJO, CA 94590
Solano County (707) 649-8300

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 Medmark Treatment Services, Inc.'s NPI number?

The NPI number for Medmark Treatment Services, Inc. is 1548505639. It was assigned to this organization in the NPPES registry on November 30, 2012.

Where is Medmark Treatment Services, Inc. located?

Medmark Treatment Services, Inc. is located at 1628 Broadway St, Vallejo, CA 94590. The listed phone number is (707) 649-8300.

What is Medmark Treatment Services, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Medmark Treatment Services, 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.