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Organization

MERITUS MEDICAL CENTER INC

Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
Meritus EKG Lab
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
MR. JOSHUA REPAC (VICE PRESIDENT, FINANCIAL SERVICES)
(301) 790-9351
Entity
Organization

Contact information

Practice address
11110 MEDICAL CAMPUS RD STE 224, HAGERSTOWN, MD 21742-6727
(301) 790-8000
Mailing address
11110 MEDICAL CAMPUS RD STE 224, HAGERSTOWN, MD 21742-6727
(301) 790-8000

Taxonomy

Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
21-012
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148502400
MD
01
255521
MAMSI
MD
01
K025
MEDICARE
MD
01
LZ32
BLUECROSS-MARYLAND
MD
01
W779
BLUECROSS-FEP/GHMSI
MD
Enumeration date
07/14/2006
Last updated
10/21/2025
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