Organization · NPI-2

Baymark Health Services Of West Virginia, INC.

Clinic/Center, Rehabilitation, Substance Use Disorder · Washington, DC

NPI number1629685045
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1629685045
Entity type
Organization (NPI-2)
Legal business name
Baymark Health Services Of West Virginia, INC.
Organization subpart
No
Enumeration date
Sep 29, 2020
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
251K00000X Public Health or Welfare––
261QM2800X Clinic/Center, Methadone Clinic––

Other names

  • Medmark Treatment Centers District Of Columbia (Doing Business As)

Practice location

2112 F St Nw Ste 102
Washington, DC 20037-2722

Phone 202-296-4455

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Phone 214-379-3300 · Fax 214-853-9018

Authorized official

Bruce Jarvie
Vp, Treasurer
2143793300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Rehabilitation, Substance Use Disorder providers in Washington, DC