MEDMARK TREATMENT CENTERS DISTRICT OF COLUMBIA
NPI 1629685045
Clinic/Center - Rehabilitation, Substance Use Disorder in Washington, DC

NPI Status: Active since September 29, 2020

Contact Information

2112 F ST NW STE 102
WASHINGTON, DC
ZIP 20037
Phone: (202) 296-4455

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 09D2152455
  • CLIA Cert. Type: Other - NARCOTIC TREATMENT PROGRA
  • CLIA Exp. Date: 08-08-2026

About MEDMARK TREATMENT CENTERS DISTRICT OF COLUMBIA

This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers District Of Columbia, a provider established in Washington, District Of Columbia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1629685045 assigned on September 2020. 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 District Of Columbia. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI
1629685045
Provider Legal Name
BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Other Organization Name
MEDMARK TREATMENT CENTERS DISTRICT OF COLUMBIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2112 F ST NW STE 102 WASHINGTON, DC 20037
Location Phone
(202) 296-4455
Mailing Address
1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone
(214) 379-3300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2020
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251K00000XAgencies

Public Health or Welfare

 
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 2,053 times for 68 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

This service was performed 17 times for 16 patients

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

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.

This service was performed 544 times for 31 patients

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
09D2152455
Facility Type
Other - NARCOTIC TREATMENT PROGRA
Certificate Effective Date
August 09, 2024
Certificate Expiration Date
August 08, 2026
Laboratory Director
BRIAN C. CRISSMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medmark Treatment Centers District Of Columbia 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.

Reviews for MEDMARK TREATMENT CENTERS DISTRICT OF COLUMBIA

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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 1629685045, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 2 → 4 6 → 12 → 3 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 2 + 8 + 1 + 0 + 0 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1629685045.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Professional)
2112 F ST NW STE 102
WASHINGTON, DC 20037
Licensed Practical Nurse
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Licensed Practical Nurse
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Professional)
2112 F ST NW STE 102
WASHINGTON, DC 20037
Counselor (Addiction (Substance Use Disorder))
2112 F ST NW STE 102
WASHINGTON, DC 20037
Licensed Practical Nurse
2112 F ST NW STE 102
WASHINGTON, DC 20037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629685045, enumerated as an "organization" on September 29, 2020.

The provider is located at 2112 F ST NW STE 102 WASHINGTON, DC 20037 and the phone number is (202) 296-4455.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.