Organization Active NPI

Lifemark Inc.

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
National Provider Identifier
1578264636
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFEMARK INC.
Doing business as
LifeMark Inc
Practice address
1342 S Division St Ste 401
Salisbury, MD 21804-6921
Phone
(443) 859-8584
Fax
(443) 859-8496
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Radish
Title
Office Manager/Billing
Phone
(443) 859-8584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1342 S Division St Ste 401
Salisbury, MD 21804-6921

Mailing address

1342 S Division St Ste 401
Salisbury, MD 21804-6921
Phone (443) 859-8584

Other names 1

  • LifeMark Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifemark Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1578264636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST STE 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "443-859-8584",
            "fax_number": "443-859-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST STE 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "443-859-8584",
            "fax_number": "443-859-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMARK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "RADISH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING",
        "authorized_official_telephone_number": "443-859-8584"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeMark Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.