Medmark Treatment Centers - Fresno West, Inc in Fresno - Methadone
Medmark Treatment Centers - Fresno West, Inc - NPI 1568676575
Medmark Treatment Centers - Fresno West, Inc is a Methadone in Fresno, California. Medmark Treatment Centers - Fresno West, Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Medmark Treatment Centers - Fresno West, Inc is 1568676575. The last update date is 2023-02-21.
Medmark Treatment Centers - Fresno West, Inc's current location address is 1310 M Street, Fresno, California. You can contact this provider via phone number 5592642700 and fax number 5592642767. The mailing address for Medmark Treatment Centers - Fresno West, Inc is 1310 M Street, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medmark Treatment Centers - Fresno West, Inc |
|---|---|
| Address | 1310 M Street, Fresno, California |
| Phone Number | 5592642700 |
| Fax Number | 5592642767 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | D'Andria Genco |
| Telephone Number | 2143793300 |
NPI Number Detail
| NPI Number | 1568676575 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2023-02-21 |
Provider Mailing Address Detail
| Address | 1310 M Street |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211808 |
| Phone Number | 5592642700 |
| Fax Number | 5592642767 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 2024-10-06 0 |
|
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 |
|---|---|---|---|
| 1997-10-01 00:0 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Medmark Treatment Centers - Fresno West, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Medmark Treatment Centers - Fresno West, Inc has been assigned the NPI (National Provider Identifier) 1568676575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Medmark Treatment Centers - Fresno West, Inc's facilities are geographically located?
The facilities of Medmark Treatment Centers - Fresno West, Inc are physically situated at the following location: 1310 M Street, Fresno, CA, 937211808.
What is Medmark Treatment Centers - Fresno West, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Medmark Treatment Centers - Fresno West, Inc is Methadone, and the taxonomy code that categorizes this field of expertise is 261Qm2800X.
When was the Medmark Treatment Centers - Fresno West, Inc's 1568676575 issued?
The Medmark Treatment Centers - Fresno West, Inc's 1568676575 was issued on 2007-05-09.
As of what date was the information regarding Medmark Treatment Centers - Fresno West, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Medmark Treatment Centers - Fresno West, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-21.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY