Medmark Treatment Centers - Sacramento Inc in Sacramento - Methadone
Medmark Treatment Centers - Sacramento Inc - NPI 1255419172
Medmark Treatment Centers - Sacramento Inc is a Methadone in Sacramento, California. Medmark Treatment Centers - Sacramento Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Medmark Treatment Centers - Sacramento Inc is 1255419172. The last update date is 2023-02-21.
Medmark Treatment Centers - Sacramento Inc's current location address is 7240 E Southgate Dr, Sacramento, California. You can contact this provider via phone number 9163914293 and fax number 9163914247. The mailing address for Medmark Treatment Centers - Sacramento Inc is 7240 E Southgate Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medmark Treatment Centers - Sacramento Inc |
|---|---|
| Address | 7240 E Southgate Dr, Sacramento, California |
| Phone Number | 9163914293 |
| Fax Number | 9163914247 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | D'Andria Genco |
| Telephone Number | 2143793300 |
NPI Number Detail
| NPI Number | 1255419172 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2023-02-21 |
Provider Mailing Address Detail
| Address | 7240 E Southgate Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958232627 |
| Phone Number | 9163914293 |
| Fax Number | 9163914247 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 34-09 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34-09 | CA | OTP LICENSE | |
| 9390237 | CA | MEDICAL |
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What is the Medmark Treatment Centers - Sacramento Inc's 1255419172?
The Medmark Treatment Centers - Sacramento Inc's NPI (National Provider Identifier) Number is 1255419172. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Medmark Treatment Centers - Sacramento Inc's physical address?
The Medmark Treatment Centers - Sacramento Inc is physically located at 7240 E Southgate Dr, in the city of Sacramento, CA, with the postal code 958232627.
What is Medmark Treatment Centers - Sacramento Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medmark Treatment Centers - Sacramento Inc's specialized field of practice is Methadone, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255419172 to Medmark Treatment Centers - Sacramento Inc?
The Centers for Medicare & Medicaid Services originally issued the 1255419172 to Medmark Treatment Centers - Sacramento Inc on 2006-11-01.
As of what date were the details pertaining to Medmark Treatment Centers - Sacramento Inc last refreshed?
The information related to the Medmark Treatment Centers - Sacramento Inc, including its address, specialty, and other relevant details, was last updated on 2023-02-21.