Organization
MERITUS MEDICAL CENTER INC
Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
DEPT OF BEHAVIORAL HEALTH SERVICES-PSYCHIATRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
11116 MEDICAL CAMPUS RD, 1WEST, HAGERSTOWN, MD 21742-6710
(240) 313-9500
(240) 313-9530
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(240) 313-9500
(240) 313-9530
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159218100
—
MD
Enumeration date
12/17/2008
Last updated
10/26/2022
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