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Organization

MERITUS MEDICAL CENTER INC

Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
Meritus Behavioral Health Services
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, SUITE 2989, HAGERSTOWN, MD 21742-6710
(301) 766-7600
(301) 797-9480
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 797-2000
(301) 797-9480

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
21-012
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
794060200
MD
01
K025
BLUECROSS-MARYLAND
MD
01
W767
BLUECROSS-FEP/GHMSI
MD
Enumeration date
07/12/2006
Last updated
10/26/2022
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