# MERIDIAN HEALTH SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093146268
- **Authorized official:** KIRK SHAFER (CFO)
- **Authorized official phone:** (765) 288-1928

## Contact information

- **Practice address:** 2501 W JACKSON ST, MUNCIE, IN 47303-4632
- **Practice address phone:** (765) 288-1928
- **Practice address fax:** (765) 741-0362
- **Mailing address:** 240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
- **Mailing address phone:** (765) 288-1928
- **Mailing address fax:** (765) 741-0335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 04/17/2014