MEDMARK TREATMENT CENTERS - BELCAMP
NPI 1689937260
Clinic/Center - Rehabilitation, Substance Use Disorder in Bel Camp, MD

NPI Status: Active since June 19, 2012

Contact Information

1361 BRASS MILL RD
SUITE A
BEL CAMP, MD
ZIP 21017
Phone: (410) 273-9700
Fax: (410) 273-9713

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 21D1096895
  • CLIA Cert. Type: Other - NARCOTIC TX PROG
  • CLIA Exp. Date: 03-12-2027

About MEDMARK TREATMENT CENTERS - BELCAMP

This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers - Belcamp, a provider established in Bel Camp, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689937260 assigned on June 2012. 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 - Belcamp. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI
1689937260
Provider Legal Name
GLASS HEALTH PROGRAMS, INC.
Other Organization Name
MEDMARK TREATMENT CENTERS - BELCAMP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1361 BRASS MILL RD SUITE A BEL CAMP, MD 21017
Location Phone
(410) 273-9700
Location Fax
(410) 273-9713
Mailing Address
1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone
(214) 379-3300
Mailing Fax
(410) 273-9713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2012
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
License State
MD

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)
1251S00000XAgencies

Community/Behavioral Health

101202 (MD)
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

(MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0019661780001MEDICAID (05)PA 
905637OTHER (01)MDLICENSE
403453800MEDICAID (05)MD 
39191306MEDICAID (05)MD 

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 595 times for 24 patients

Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)

Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.

This service was performed 299 times for 17 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 507 times for 17 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
21D1096895
Facility Type
Other - NARCOTIC TX PROG
Certificate Effective Date
March 13, 2025
Certificate Expiration Date
March 12, 2027
Laboratory Director
YASHICA RUFFIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medmark Treatment Centers - Belcamp 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.

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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 1689937260, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 8 + 3 + 1 + 4 + 2 + 1 + 2 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1689937260.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Adult Day Care)
1361 BRASS MILL RD, SUITE B-C
BELCAMP, MD 21017
Counselor (Addiction (Substance Use Disorder))
1361 BRASS MILL RD
BELCAMP, MD 21017
Counselor (Addiction (Substance Use Disorder))
1361 BRASS MILL RD
BELCAMP, MD 21017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689937260, enumerated as an "organization" on June 19, 2012.

The provider is located at 1361 BRASS MILL RD SUITE A BEL CAMP, MD 21017 and the phone number is (410) 273-9700.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.