Medmark Treatment Centers of Alabama, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MEDMARK TREATMENT CENTERS OF ALABAMA, INC.

Doing business as

Medmark Treatment Centers-Oxford

Practice address

118 E Choccolocco St
Oxford, AL 36203-1222

Phone

(256) 831-4601

Fax

(256) 831-4601

NPI assigned

Sep 29, 2015

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDMARK SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 1

Addresses

Other names 1

• Medmark Treatment Centers-Oxford Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medmark Treatment Centers of Alabama, Inc.

  dba Medmark Treatment Centers- Dothan

  • Methadone Clinic
  • Newton, AL
  • NPI 1114398799

  O20200107003155

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medmark Treatment Centers of Alabama Inc2 organizations share this tax ID, including this one

Part of

North County Health Center

Other organizations with this tax ID 1

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

• Medmark Treatment Centers of Alabama, Inc.

  dba Medmark Treatment Centers- Dothan

  • Methadone Clinic
  • Newton, AL
  • NPI 1114398799
  NPD tax ID

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1851761225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031222",
            "telephone_number": "256-831-4601",
            "fax_number": "256-831-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMARK TREATMENT CENTERS OF ALABAMA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDMARK SERVICES, INC",
        "enumeration_date": "2015-09-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medmark Treatment Centers-Oxford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medmark Treatment Centers-Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Quandrez McKinney
• Gennitha Marie McLeod, FNP
• Katrina B McSpadden, BC-HIS
• Brandi Nicole Meads, CRNP
• Kara Medforth, MSW
• Milano Eyecare
• Jon G Milano, O.D.
• Millennium Health Clinic
• Leah Ann Minter, MS
• Miracle Ear

• Methadone Clinic in Oxford, AL
• Providers in Oxford, AL by specialty
• Methadone Clinic in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.