Organization
MERIDIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK SHAFER (VICE PRESIDENT OF FINANCE)
(765) 288-1928
Entity
Organization
Contact information
Practice address
240 N. TILLOTSON AVE., MUNCIE, IN 47304
(765) 288-1928
Mailing address
930 N. 14TH ST., NEW CASTLE, IN 47362
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
422-0-CMHC
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273590E
—
IN
05
—
200851630A
—
IN
Enumeration date
10/11/2006
Last updated
10/27/2008
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