Organization · Type 2 NPI

Medmark Treatment Centers - Fairfield, Inc.

Methadone Clinic · Fairfield, CA

NPI number 1669534491 Active

Practice location

1143 Missouri Street
Fairfield, CA 94533-6007

Call (707) 435-9911 Map

Fax (707) 435-0704

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	48-03 (CA)

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

NPI record

NPI: 1669534491
Entity type: Organization (Type 2)
Issued: Dec 15, 2006
Last updated: Mar 18, 2026
Status: Active

Other names

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Medmark Treatment Centers - Fairfield, Inc. · doing business as
Medmark Treatment Centers- Fairfield, Inc · doing business as

Authorized official

Bruce Jarvie
VP, Treasurer
(214) 379-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669534491

Medmark Treatment Centers - Fairfield, Inc.'s National Provider Identifier is 1669534491, issued on Dec 15, 2006. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Fairfield, CA. The record was last updated on Mar 18, 2026.