Organization
MERITUS MEDICAL CENTER INC
Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
Meritus Physicians-Center for Advanced Healing & Hyperbaric Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
MR. JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(240) 313-9580
(240) 313-9581
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8102
(301) 797-9480
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21-012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949701305
—
MD
01
—
K025
MEDICARE PART B
MD
Enumeration date
12/04/2008
Last updated
10/26/2022
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