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MERIDIAN HEALTH SERVICES CORP NPI 1326458928


NPI Information

NPI: 1326458928
Provider Name: MERIDIAN HEALTH SERVICES CORP

Doing Business As: MERIDIAN MUNCIE WOMEN'S WOMENS HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D0993834

Address:
100 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 286-2000
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MERIDIAN HEALTH SERVICES CORP is a federally qualified health center (fqhc) clinic center in Muncie, IN. MERIDIAN HEALTH SERVICES CORP NPI is 1326458928. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Meridian Muncie Women's Womens Health Center.

The provider's business location address is:

100 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304-987
Phone: (765) 286-2000
Fax: (765) 741-0335

The provider's authorized official is Kirk Shafer .
The authorized official title is Cfo and has the following contact phone number (765) 288-1928.

The CLIA number assigned to this NPI record is 15D0993834 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2014 and was last updated on 9/15/2016.


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
1207V00000XObstetrics & GynecologyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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
1200978580AMEDICAIDINDIANA
2151924MEDICARE OSCAR/CERTIFICATIONINDIANA

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.