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MEDMARK TREATMENT CENTERS PERRYOPOLIS
NPI 1619223757
Clinic/Center - Methadone in Perryopolis, PA

Active since July 26, 2012CLIA 39D2049832 · Waiver
3591 PITTSBURGH RD, PERRYOPOLIS, PA 15473(724) 736-8390 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, Feb 28, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2019).

About Medmark Treatment Centers Perryopolis NPPES

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

MEDMARK TREATMENT CENTERS PERRYOPOLIS (NPI 1619223757) is a healthcare organization registered as a methadone in Perryopolis, Pennsylvania and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1619223757
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePOLARIS RENEWAL SERVICES, INC.
Location Address3591 PITTSBURGH RDPerryopolis, PA 15473-1307
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(724) 736-8390
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateJuly 26, 2012
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1619223757 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.
3591 PITTSBURGH RD, Perryopolis, PA 15473
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Other Names 1

Doing Business AsMedmark Treatment Centers Perryopolis

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 39D2049832

Polaris Renewal Services, Inc · Perryopolis, PA
Active · expires Mar 9, 2027
CLIA Number39D2049832
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDr. Mickey R. Merringer
Laboratory Phone(724) 736-8390
Laboratory LocationPolaris Renewal Services, Inc3591 Pittsburgh Road, Perryopolis, PA 15473
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

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.
359 services12 patients

Other Providers at the Same Location NPPES 7

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

MS. ANGELA STEELE LPN
Licensed Practical Nurse
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
SARAH MCDERMOTT
Counselor (Addiction (Substance Use Disorder))
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
MRS. RITA JOHNSON
Counselor (Addiction (Substance Use Disorder))
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
MS. JADE RENAE TEETS LPN
Licensed Practical Nurse
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
CAROL LIPPENCOTT
Counselor (Addiction (Substance Use Disorder))
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
MS. BOBBI JORDON LPN
Registered Nurse (Hospice)
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390
CHELSIE MUSISKO
Counselor (Addiction (Substance Use Disorder))
3591 PITTSBURGH RD
PERRYOPOLIS, PA 15473
Fayette County (724) 736-8390

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 Polaris Renewal Services, Inc.'s NPI number?

The NPI number for Polaris Renewal Services, Inc. is 1619223757. It was assigned to this organization in the NPPES registry on July 26, 2012. The provider is doing business as Medmark Treatment Centers Perryopolis.

Where is Polaris Renewal Services, Inc. located?

Polaris Renewal Services, Inc. is located at 3591 Pittsburgh Rd, Perryopolis, PA 15473. The listed phone number is (724) 736-8390.

What is Polaris Renewal Services, Inc.'s specialty?

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

Does Polaris Renewal Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2049832) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polaris Renewal 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.