Medmark Treatment Centers - Fresno West, Inc

LBN: Medmark Treatment Centers - Fresno West, Inc
Medmark Treatment Centers - Fresno West, Inc is an health care organization with primary practice located at 1310 M Street , Fresno CA 93721-1808. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Medmark Treatment Centers - Fresno West, Inc can be contacted via phone (559) 264-2700, or through Saul, Michael via phone (214) 379-3300.

Contact Information

Primary practice address
1310 M Street Fresno CA 93721-1808
Phone: (559) 264-2700
Fax: (559) 264-2767
Website:
Map and Directions
Authorized official contact:
Name: Saul, Michael
Phone: (214) 379-3300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X PENDING California
Ambulatory Health Care Facilities / Methadone 261QM2800X 10-06 California

Profile Details

NPI number 1568676575
LBN Legal business name Medmark Treatment Centers - Fresno West, Inc
DBA Doing business as
Authorized official Saul, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2007
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 1568676575 NPPES
California MEDICAID 10-97

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