Organization
MERIDIAN HEALTH SERVICES CORP
Active
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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