MEDICARE: BAYMARK HEALTH SERVICES OF OHIO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2800X	Methadone Clinic
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1740847557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYMARK HEALTH SERVICES OF OHIO, INC.

Provider Business Mailing Address
First Line	:	1720 LAKEPOINTE DR STE 117
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-6425
Country	:	US
Telephone Number	:	214-379-3300
Fax Number	:	214-853-9018

Provider Business Practice Location Address
First Line	:	1521 WALMART DR STE 901
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-8359
Country	:	US
Telephone Number	:	513-331-7034
Fax Number	:	513-331-7035

Authorized Official
Title or Position	:	VP, TREASURER
Name	:	BRUCE JARVIE
Credential	:
Telephone Number	:	214-379-3300

Provider Enumeration Date	:	05/28/2019
Last Update Date	:	07/29/2024

Similar Medicare Providers

1265364160 — ADAM DALTON
Practice Location Address:

1521 WALMART DR STE 901
LEBANON, OH
45036-8359

Practice Phone: 513-496-3014
Practice Fax:

1104317486 — MELODIE L HERNANDEZ CDCA
Practice Location Address:

1521 WALMART DR STE 901
LEBANON, OH
45036-8359

Practice Phone: 513-225-7736
Practice Fax:

1548851306 — CARLA ROBERTS LPN
Practice Location Address:

1521 WALMART DR STE 901
LEBANON, OH
45036-8359

Practice Phone: 513-331-7034
Practice Fax: 513-331-7035

1134052186 — BLAKE A FLEMING CDCA
Practice Location Address:

5234 W STATE ROUTE 63
LEBANON, OH
45036-8202

Practice Phone: 513-751-7747
Practice Fax:

1043148828 — JUNE LEE STONE NP-C
Practice Location Address:

903 GRANDSTONE CT
LEBANON, OH
45036-8465

Practice Phone: 513-502-2155
Practice Fax:

1093749798 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

1425 COLUMBUS AVE
LEBANON, OH
45036-8258

Practice Phone: 513-228-7370
Practice Fax: 513-228-7395

Directions to “BAYMARK HEALTH SERVICES OF OHIO, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.