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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