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Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK SHAFER (CFO)
(765) 288-1928
Entity
Organization
Contact information
Practice address
2501 W JACKSON ST, MUNCIE, IN 47303-4632
(765) 288-1928
(765) 741-0362
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/12/2013
Last updated
04/17/2014
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