Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK SHAFER (CFO)
(765) 288-1928
Entity
Organization
Contact information
Practice address
930 N 14TH ST, NEW CASTLE, IN 47362-4311
(765) 288-1928
(765) 254-5386
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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