# MERITUS MEDICAL CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERITUS MEDICAL CENTER INC
- **Other names:** Meritus Physicians-Trauma
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689759128
- **Legal business name:** MERITUS MEDICAL CENTER INC
- **Authorized official:** MR. JOSHUA REPAC (CFO)
- **Authorized official phone:** (301) 790-9351

## Contact information

- **Practice address:** 11116 MEDICAL CAMPUS ROAD, HAGERSTOWN, MD 21742-6710
- **Practice address phone:** (301) 714-4382
- **Practice address fax:** (301) 714-4293
- **Mailing address:** 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
- **Mailing address phone:** (240) 313-9508
- **Mailing address fax:** (240) 313-9530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 10/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 949701300 | — | MD |