NPI 1255047759 · live from the CMS NPI Registry
Baymark Health Services Of West Virginia, INC.
Family Medicine, Addiction Medicine in Morgantown, WV. National Provider Identifier 1255047759, active.
NPI record
| NPI | 1255047759 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 53 Don Knotts Blvd, Morgantown, WV 26508 |
| Practice phone | 304-284-0025 |
| Mailing address | 1720 Lakepointe Dr Ste 117, Lewisville, TX 75057 |
| Enumerated | January 27, 2023 |
| Last updated | July 29, 2024 |
| Authorized official | Bruce Jarvie, Vp, Treasurer |
| Other names | Medmark Treatment Centers Morgantown |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Peer Specialist | 175T00000X | — |
| Family Medicine, Addiction Medicine primary | 207QA0401X | — |
| Internal Medicine, Addiction Medicine | 207RA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.