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Organization

MERIDIAN HEALTH, INC.

Active
Other names
Severna Park Center
Organization subpart
No

Provider details

NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization

Contact information

Practice address
24 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2715
(410) 544-4220
(410) 544-4288
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02-019
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027337600
MD
01
02D2
CAREFIRST - PROV/INQ #
01
09012
AMERIGROUP
01
181375
AETNA- HMO
01
240551
UNITED - MAMSI
01
71-00191
UNITED - EVERCARE
01
7100066
UNITED - AMERICHOICE
01
HI5
CAREFIRST IND/PPO
Enumeration date
06/14/2006
Last updated
08/17/2018
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