MEDMARK TREATMENT CENTERS - CHERRY HILL – NPI #1093071920
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

MEDMARK TREATMENT CENTERS - CHERRY HILL is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1093071920 to MEDMARK TREATMENT CENTERS - CHERRY HILL on April 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDMARK TREATMENT CENTERS - CHERRY HILL” is a dba name, the actual legal business name for this organization is GLASS HEALTH PROGRAMS, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

The NPI profile was last updated on Jul 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDMARK TREATMENT CENTERS - CHERRY HILL below.

NPI Profile for
GLASS HEALTH PROGRAMS, INC.

NPI Number
1093071920
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLASS HEALTH PROGRAMS, INC.
Doing Business As (dba): MEDMARK TREATMENT CENTERS - CHERRY HILL
Primary location
1801 CHERRY HILL RD
BALTIMORE, MD 21230
Phone: (410) 354-2800 Fax:
Mailing address
1720 LAKEPOINTE DR STE 117
LEWISVILLE, TX 75057-6425
Phone: (214) 379-3300 Fax: (214) 853-9018
Organization Subpart
Yes - MEDMARK TREATMENT CENTERS - CHERRY HILL is subpart of another organization.
Authorized Official
BRUCE JARVIE
VP, TREASURER
Phone: (214) 379-3300
Updated
Certification Date
Jul 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDMARK TREATMENT CENTERS - CHERRY HILL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD03919104
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)
MD 903985
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
MD 904748

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.