Medmark Treatment Centers- Stockton, Inc

LBN: Medmark Treatment Centers- Stockton, Inc
Medmark Treatment Centers- Stockton, Inc is an health care organization with primary practice located at 1111 N El Dorado Street , Stockton CA 95202-1305. 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- Stockton, Inc can be contacted via phone (209) 938-0228, or through Saul, Michael via phone (214) 379-3300.

Contact Information

Primary practice address
1111 N El Dorado Street Stockton CA 95202-1305
Phone: (209) 938-0228
Fax: (209) 938-0281
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 39-07 California

Profile Details

NPI number 1851453500
LBN Legal business name Medmark Treatment Centers- Stockton, Inc
DBA Doing business as
Authorized official Saul, Michael
Entity Organization
Organization subpart 1 Yes
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 1851453500 NPPES
California MEDICAID 48-AC
California Other 48AC

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