MEDMARK TREATMENT CENTERS OF ALABAMA, INC (NPI# 1114398799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114398799 |
| Entity Type | Organization |
| Organization Name | MEDMARK TREATMENT CENTERS OF ALABAMA, INC |
| Other Organization Name | MEDMARK TREATMENT CENTERS- DOTHAN |
| Practice Address |
9283 W Us 84 Newton AL 36352-8207 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 2143793300 |
| Practice Fax Number | 2143793324 |
| Mailing Telephone | 2143793300 |
| Mailing Fax Number | 2148539018 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | BOND ANDREWS (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDMARK SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medmark Treatment Centers- Dothan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761225 | Medmark Treatment Centers of Alabama, Inc | Clinic/Center | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2015-09-29 |
| Street Address |
9283 W US 84 |
| City | NEWTON |
| State | AL |
| Zip Code | 36352-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972691293 | Houston Treatment Center, LLC | Community/Behavioral Health | 9283 W Us 84, Newton, AL 36352-8207 | 2006-10-11 |
| 1871062950 | Mandy Samantha Brantley | Counselor | 9283 W Us 84, Newton, AL 36352-8207 | 2018-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914077 | Atyme 4 U Counseling | Counselor | 3291 S. County Rd 9, Newton, AL 36352 | 2017-10-30 |
| 1619423936 | Judieth Darlene Sims | Nurse Practitioner | 858 County Road 426, Newton, AL 36352-3711 | 2016-08-28 |
| 1043231525 | Dale County Rescue and Recovery | Ambulance | 449 S College St, Newton, AL 36352-4018 | 2006-07-21 |
| 1245534981 | Dale County Rescue Inc. | Ambulance | 449 S College St, Newton, AL 36352-4018 | 2011-01-10 |
| 1598091993 | Dale County Rescue | Ambulance | 449 S College St, Newton, AL 36352-4018 | 2009-10-20 |
| 1649248105 | Billy Harmon | Physician Assistant | 193 Oates Dr, Newton, AL 36352-4312 | 2006-03-10 |
| 1295278653 | Joanna Nicole Kallendorf | Nurse Practitioner | 193 Oates Dr, Newton, AL 36352-4312 | 2016-12-02 |
| 1780745034 | Southeast Alabama Rural Health Associates | Clinic/Center | 193 Oates Dr, Newton, AL 36352-4312 | 2006-12-12 |
| 1043220122 | Charles David Winfrey | Physician Assistant | 193 Oates Dr, Newton, AL 36352-4312 | 2006-08-09 |
| 1407327984 | Dale Ems and Rescue Squad | Ambulance | 209 Oates Dr, Newton, AL 36352-4314 | 2018-12-10 |
| Find all providers in zip 36352 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295370849 | Resource Center for The Chemically Dependent, Inc. | Clinic/Center | 124 Hampton House Rd, Newton, NJ 07860-2804 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1952614174 | Contract Physician | Clinic/Center | 1011 Captain Oneal Dr, Daphne, AL 36526-4023 | 2010-07-16 |
| 1306158720 | Contract Physician | Clinic/Center | 412 Village Dr, Daphne, AL 36526-4001 | 2010-07-14 |
| 1720303787 | Huntsville Recovery, Inc. | Clinic/Center | 4040 Independence Dr Nw, Huntsville, AL 35816-3012 | 2010-04-02 |
| 1700093853 | Metro Treatment of Alabama, Lp | Clinic/Center | 6001 East Shirley Lane, Montgomery, AL 36117-1935 | 2007-05-17 |
| 1639386717 | Metro Treatment of Alabama, Lp | Clinic/Center | 1924-c Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2007-05-17 |
| 1750458550 | Marion County Treatment Center | Clinic/Center | 1879 Military St South, Hamilton, AL 35570 | 2006-11-29 |
| 1851761225 | Medmark Treatment Centers of Alabama, Inc | Clinic/Center | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2015-09-29 |
| 1033324769 | Metro Treatment of Alabama, Lp | Clinic/Center | 2227 Drake Ave, Suite 19, Huntsville, AL 35805-5146 | 2007-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.