Organization
MERIDIAN HEALTH SERVICES CORP
Active
Other names
Meridian Health Services Corp-Rushville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK SHAFER (C.F.O.)
(765) 288-1928
Entity
Organization
Contact information
Practice address
509 HARCOURT WAY, RUSHVILLE, IN 46173-1165
(765) 932-3699
(765) 932-4164
Mailing address
240 N. TILLOTSON AVENUE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
IN
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216100
—
IN
05
—
100216100A
—
IN
Enumeration date
05/15/2006
Last updated
12/18/2012
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