Organization
MERIDIAN HEALTH SERVICES CORP
Active
Other names
Meridian Muncie Women's Womens Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK SHAFER (CFO)
(765) 288-1928
Entity
Organization
Contact information
Practice address
100 N TILLOTSON AVE, MUNCIE, IN 47304-3987
(765) 286-2000
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200978580A
—
IN
Enumeration date
05/05/2014
Last updated
09/15/2016
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