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Organization
MERIDIAN HMA LLC
Active
Organization
MERIDIAN HMA LLC
Active
Other names
Riley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3167
Entity
Organization
Contact information
Practice address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 693-2511
(601) 484-3130
Mailing address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 693-2511
(601) 484-3130
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
12249
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010187
AL BLUE CROSS
AL
05
—
0220495
—
MS
05
—
1729329
—
LA
01
—
20148
BLUE CROSS
MS
05
—
HOS0081P
—
AL
Enumeration date
05/25/2006
Last updated
07/30/2009
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