Medmark Treatment Centers- Fairfield, Inc

LBN: Medmark Treatment Centers- Fairfield, Inc
Medmark Treatment Centers- Fairfield, Inc is an health care organization with primary practice located at 1143 Missouri Street , Fairfield CA 94533-6007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Medmark Treatment Centers- Fairfield, Inc can be contacted via phone (707) 435-9911, or through Saul, Michael via phone (214) 379-3300.

Contact Information

Primary practice address
1143 Missouri Street Fairfield CA 94533-6007
Phone: (707) 435-9911
Fax: (707) 435-0704
Website:
Map and Directions
Authorized official contact:
Name: Saul, Michael
Phone: (214) 379-3300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 48-03 California

Profile Details

NPI number 1669534491
LBN Legal business name Medmark Treatment Centers- Fairfield, Inc
DBA Doing business as Medmark Treatment Centers- Fairfield, Inc
Authorized official Saul, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669534491 NPPES
California MEDICAID 48AA
California Other 48AA

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