Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization
MERIDIAN HEALTH SERVICES CORP
Active
Other names
MeridianMD Convenience Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK SHAFER (CFO)
(765) 288-1928
Entity
Organization
Contact information
Practice address
500 W VOTAW ST, SUITE A, PORTLAND, IN 47371-1322
(765) 288-1928
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/03/2016
Last updated
12/02/2016
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