Provider Type Icon

MERIDIAN HEALTH SERVICES CORP NPI 1225457450


NPI Information

NPI: 1225457450
Provider Name: MERIDIAN HEALTH SERVICES CORP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
205 N TILLOTSON AVE
ROOM REHAB
MUNCIE, IN
ZIP 47304
Phone: (765) 288-1928
Get Directions

MERIDIAN HEALTH SERVICES CORP is a pediatrics in Muncie, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MERIDIAN HEALTH SERVICES CORP NPI is 1225457450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

205 N TILLOTSON AVE
ROOM REHAB
MUNCIE, IN
ZIP 47304-900
Phone: (765) 288-1928
Fax: (765) 741-0362

The provider's authorized official is Kirk Shafer .
The authorized official title is C.f.o. / V.p. and has the following contact phone number (765) 288-1928.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 7/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistNo
2225X00000XOccupational TherapistNo
3225100000XPhysical TherapistNo
4208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1945350MEDICARE OSCAR/CERTIFICATIONINDIANA
2201205450MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.