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MEDMARK TREATMENT CENTERS LAFAYETTE
NPI 1659879187
Clinic/Center - Methadone in Lafayette, IN

Active since January 30, 2018CLIA 15D2145441 · Waiver
4705 MEIJER CT, LAFAYETTE, IN 47905(765) 743-4400 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Jan 19, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2021).

About Medmark Treatment Centers Lafayette NPPES

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

MEDMARK TREATMENT CENTERS LAFAYETTE (NPI 1659879187) is a healthcare organization registered as a methadone in Lafayette, Indiana and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1659879187
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameLIMESTONE HEALTH, LLC
Location Address4705 MEIJER CTLafayette, IN 47905-4684
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300
Phone(765) 743-4400
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1659879187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
4705 MEIJER CT, Lafayette, IN 47905
Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers Lafayette

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 15D2145441

Limestone Health, LLC Medmark Treatment Centers Lafayette · Lafayette, IN
Active · expires Mar 6, 2028
CLIA Number15D2145441
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorCheryl Westmoreland
Laboratory Phone(765) 701-6060
Laboratory LocationLimestone Health, LLC Medmark Treatment Centers Lafayette4705 Meijer Court, Lafayette, IN 47905
CLIA data matches this NPI record on: Address Name
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.
400 services13 patients

Other Providers at the Same Location NPPES 8

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

AMANDA CAMPBELL LACA
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060
BETH A TROUTMAN
Specialist
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060
MR. JERRY TODD MCCOY
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060
MELISSA A BLANKMAN COUNSELOR
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060
ANGELA CLEMANS
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6061
MADISON MULLEN
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (812) 870-6532
MONICA ABBOTT CADAC II, MATS
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060
DREW EDWIN ROBBINS MATS, BS, ACITII
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 701-6060

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 Limestone Health, LLC's NPI number?

The NPI number for Limestone Health, LLC is 1659879187. It was assigned to this organization in the NPPES registry on January 30, 2018. The provider is doing business as Medmark Treatment Centers Lafayette.

Where is Limestone Health, LLC located?

Limestone Health, LLC is located at 4705 Meijer Ct, Lafayette, IN 47905. The listed phone number is (765) 743-4400.

What is Limestone Health, LLC's specialty?

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

Does Limestone Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2145441) is associated with this NPI, valid through March 6, 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 Limestone Health, LLC was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.