| Medmark Treatment Centers Wood River | |
|
304 Wesley Dr Ste 302306 Wood River IL 62095-2266 | |
| (618) 258-7592 | |
| Not Available |
| Full Name | Medmark Treatment Centers Wood River |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 304 Wesley Dr Ste 302306, Wood River, Illinois |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medmark Treatment Centers Wood River 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Medmark Treatment Centers Wood River 304 Wesley Dr Ste 302306 Wood River IL 62095-2266 Ph: (618) 258-7592 |
| NPI Number | 1841858404 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841858404 | NPI | - | NPPES |
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