MEDMARK TREATMENT CENTERS BLOOMINGTON
NPI 1902304447
Clinic/Center - Methadone in Bloomington, IN

Q: What is Limestone Health, LLC's NPI number?

The NPI number for Limestone Health, LLC is 1902304447. It was assigned to this organization in the NPPES registry on January 30, 2018. The provider is doing business as Medmark Treatment Centers Bloomington.

Q: What is Limestone Health, LLC's specialty?

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

Active since January 30, 2018CLIA 15D2145439 · Waiver

2100 S LIBERTY DR STE A, BLOOMINGTON, IN 47403(765) 743-4400 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

On this page

About Medmark Treatment Centers Bloomington NPPES

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

MEDMARK TREATMENT CENTERS BLOOMINGTON (NPI 1902304447) is a healthcare organization registered as a methadone in Bloomington, 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

NPI1902304447

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameLIMESTONE HEALTH, LLC

Location Address2100 S LIBERTY DR STE ABloomington, IN 47403-5147

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 1902304447 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

2100 S LIBERTY DR STE A, Bloomington, IN 47403

Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers Bloomington

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 15D2145439

Limestone Health, LLC Medmark Treatment Centers Bloomington · Bloomington, IN

Active · expires Mar 6, 2028

CLIA Number15D2145439

Laboratory TypeNarcotic Treatment Progra

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorBruce Thomas

Laboratory Phone(812) 727-6700

Laboratory LocationLimestone Health, LLC Medmark Treatment Centers Bloomington2100 Liberty Dr, Bloomington, IN 47403

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

540 services16 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 G2077

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.

19 services11 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.

MR. WILLIAM WADE EARLS M.A.

Counselor (Addiction (Substance Use Disorder))