MEDMARK TREATMENT CENTERS MERRILLVILLE
NPI 1366838336
Clinic/Center - Methadone in Merrillville, IN
NPI Status: Active since April 07, 2015
Contact Information
8500 BROADWAY
SUITE H
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-7710
Fax: (219) 769-7758
- Organization
- Clinic/Center
- Methadone
- Accepts Insurance
- CLIA Number: 15D2254315
- CLIA Cert. Type: Other - NARCOTIC TREATMENT PROGRA
- CLIA Exp. Date: 03-01-2026
About MEDMARK TREATMENT CENTERS MERRILLVILLE
This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Merrillville, a provider established in Merrillville, Indiana operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1366838336 assigned on April 2015. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Medmark Treatment Centers Merrillville. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1366838336
- Provider Legal Name
- NORTHWEST INDIANA TREATMENT CENTER, LLC
- Other Organization Name
- MEDMARK TREATMENT CENTERS MERRILLVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8500 BROADWAY SUITE H MERRILLVILLE, IN 46410
- Location Phone
- (219) 769-7710
- Location Fax
- (219) 769-7758
- Mailing Address
- 1720 LAKEPOINTE DRIVE SUITE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3000
- Mailing Fax
- (219) 769-7758
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2015
- Last Update Date
- 07-29-2024
- Code Navigator
Location Map
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 Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
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.
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 |
|---|---|---|---|
| 1177-2-OTF | OTHER (01) | IN | SUBSTANCE ABUSE |
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
- 15D2254315
- Facility Type
- Other - NARCOTIC TREATMENT PROGRA
- Certificate Effective Date
- March 02, 2024
- Certificate Expiration Date
- March 01, 2026
- Laboratory Director
- CHARLES MOTLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medmark Treatment Centers Merrillville 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.
Reviews for MEDMARK TREATMENT CENTERS MERRILLVILLE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 3 | 8 | 3 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 3 | 16 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 3 + 1 + 6 + 3 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1366838336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588669246 | DR. SEAN A. HORVATH D.C. Individual | Chiropractor | 8500 BROADWAY STE A MERRILLVILLE, IN 46410 (219) 738-1925 |
| 1881705218 | DR. LYNN T POWELL D.C. Individual | Chiropractor | 8500 BROADWAY SUITE A MERRILLVILLE, IN 46410 (219) 738-1925 |
| 1104017367 | PAIN MANAGEMENT ASSOCIATES, P.C. Organization | Chiropractor | 8500 BROADWAY SUITE A MERRILLVILLE, IN 46410 (219) 738-1925 |
| 1396191938 | TUMI HEALTH LLC Organization | Internal Medicine | 8500 BROADWAY STE A MERRILLVILLE, IN 46410 (219) 472-0309 |
| 1265654099 | LAKE COUNTY PEDIATRICS LLC Organization | Pediatrics | 8500 BROADWAY STE E MERRILLVILLE, IN 46410 (219) 736-9580 |
| 1629272729 | SOUTHLAKE PEDIATRICS Organization | Pediatrics | 8500 BROADWAY SUITE F MERRILLVILLE, IN 46410 (219) 736-9690 |
| 1578285987 | GEORGIA POLLY HILL Individual | Counselor (Addiction (Substance Use Disorder)) | 8500 BROADWAY MERRILLVILLE, IN 46410 (219) 769-7710 |
| 1790402105 | GLADYS HALL Individual | Licensed Practical Nurse | 8500 BROADWAY MERRILLVILLE, IN 46410 (219) 769-7710 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366838336, enumerated in the NPI registry as an "organization" on April 07, 2015
The provider is located at 8500 Broadway Suite H Merrillville, In 46410 and the phone number is (219) 769-7710
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D2254315 for a "other - narcotic treatment progra" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on April 07, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.