Organization
MEDMARK TREATMENT CENTERS - FAIRFIELD, INC.
Active
Other names
MedMark Treatment Centers - Fairfield, Inc., MedMark Treatment Centers- Fairfield, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1143 MISSOURI STREET, FAIRFIELD, CA 94533-6007
(707) 435-9911
(707) 435-0704
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
48-03
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48AA
MEDI-CAL
CA
05
—
48AA
—
CA
Enumeration date
12/15/2006
Last updated
03/18/2026
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