# MERITUS MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meritus Diabetes Prevention Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710642749
- **Authorized official:** JOSHUA REPAC (CFO)
- **Authorized official phone:** (301) 790-9351

## Contact information

- **Practice address:** 11110 MEDICAL CAMPUS RD STE 122, HAGERSTOWN, MD 21742-6700
- **Practice address phone:** (301) 790-8000
- **Mailing address:** 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 07/28/2023