MEDMARK TREATMENT CENTERS BLAIRSVILLE PA
NPI 1952854408
Clinic/Center - Methadone in Blairsville, PA

Q: What is Medmark Treatment Centers Of Pennsylvania, Inc.'s specialty?

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

Active since August 02, 2016CLIA 39D2067924 · Waiver

1984 ROUTE 22, BLAIRSVILLE, PA 15717(724) 459-4884(724) 459-4886 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2024, Feb 21, 2023, Apr 19, 2022 and 5 more (8 updates tracked since 2017).

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About Medmark Treatment Centers Blairsville Pa NPPES

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

MEDMARK TREATMENT CENTERS BLAIRSVILLE PA (NPI 1952854408) is a healthcare organization registered as a methadone in Blairsville, Pennsylvania and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1952854408

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameMEDMARK TREATMENT CENTERS OF PENNSYLVANIA, INC.

Location Address1984 ROUTE 22Blairsville, PA 15717-1264

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018

Phone(724) 459-4884

Fax(724) 459-4886

Organization SubpartYesParent: Medmark Services, Inc

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateAugust 2, 2016

Last NPPES UpdateJuly 29, 20248 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1952854408 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.

1984 ROUTE 22, Blairsville, PA 15717

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Other Names 1

Doing Business AsMedmark Treatment Centers Blairsville Pa

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 39D2067924

Medmark Treatment Centers Greensburg · Greensburg, PA

Active · expires Oct 23, 2027

CLIA Number39D2067924

Laboratory TypePhysician Office

Certificate Effective DateOctober 24, 2025

Certificate Expiration DateOctober 23, 2027

Laboratory DirectorDr. Samuel E. Cross II

Laboratory Phone(724) 459-4884

Laboratory LocationMedmark Treatment Centers Greensburg1037 Compass Cir, Greensburg, PA 15601

CLIA data matches this NPI record on: Phone

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

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 Medmark Treatment Centers Of Pennsylvania, Inc.'s NPI number?

The NPI number for Medmark Treatment Centers Of Pennsylvania, Inc. is 1952854408. It was assigned to this organization in the NPPES registry on August 2, 2016. The provider is doing business as Medmark Treatment Centers Blairsville PA.

Where is Medmark Treatment Centers Of Pennsylvania, Inc. located?

Medmark Treatment Centers Of Pennsylvania, Inc. is located at 1984 Route 22, Blairsville, PA 15717. The listed phone number is (724) 459-4884.

What is Medmark Treatment Centers Of Pennsylvania, Inc.'s specialty?

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

Does Medmark Treatment Centers Of Pennsylvania, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2067924) is associated with this NPI, valid through October 23, 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 Medmark Treatment Centers Of Pennsylvania, 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.