Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization
MERIDIAN HEALTH SERVICES CORP
Active
Other names
Meridian Health Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK SHAFER (C.F.O.)
(765) 288-1928
Entity
Organization
Contact information
Practice address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 288-1928
(765) 741-0362
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
04/18/2019
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