MERIDIAN HEALTH SERVICES CORP (NPI# 1346785037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346785037 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTH SERVICES CORP |
| Practice Address |
130 N Tillotson Ave Muncie IN 47304-3987 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652881928 |
| Practice Fax Number | 7657410335 |
| Mailing Telephone | 7652881928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | KIRK SHAFER (CFO, VP) |
| Authorized Official Telephone | 7652881928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1487110169 | Meridian Health Services Corp | Clinic/Center | 800 N Central Ave, Alexandria, IN 46001-8172 | 2019-02-18 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1528539590 | Meridian Health Services Corp | Clinic/Center | 498 Nw 18th St., Bldg 416 Sted D, Bldg 416 Ste D, Richmond, IN 47374-2851 | 2018-12-17 |
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1669988663 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 2900 N River Rd Ste C, Lafayette, IN 47906-3744 | 2017-12-28 |
| 1689186785 | Meridian Health Services Corp | Clinic/Center | 630 E Main Street, Suite 200, Richmond, IN 47374-4358 | 2017-10-30 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1336597301 | Meridian Health Services Corp | Family Medicine | 110 E Wysor St, Muncie, IN 47305-1724 | 2016-05-31 |
| 1669003679 | Meridian Health Services Corp | Clinic/Center | 303 S Main St Ste 300, Bluffton, IN 46714-2503 | 2020-01-29 |
| Street Address |
130 N TILLOTSON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854932 | Tammy Lightner | Nurse Practitioner | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2006-03-14 |
| 1689040842 | Brittney Schmidt | Social Worker | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2015-08-11 |
| 1629485107 | Ayodeji Ogunleye | Psychiatry & Neurology | 130 N Tillotson Ave, Muncie, IN 47304 | 2014-07-17 |
| 1194027052 | Daryl E Thompson | Counselor | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2010-11-29 |
| 1063739670 | Pu Cheng | Psychiatry & Neurology | 130 N Tillotson Ave, Meridian Health Services Corp., Muncie, IN 47304-3987 | 2010-04-23 |
| 1073794657 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2007-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1316573413 | Meridian Health Services Corp. | Clinic/Center | 1601 E 26th St # 6, Muncie, IN 47302-5808 | 2020-03-20 |
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| 1770510240 | Open Door Health Services, Inc. | Clinic/Center | 1651 E 29th St, Muncie, IN 47302-5886 | 2006-06-28 |
| 1902851082 | Open Door Health Services, Inc. | Clinic/Center | 333 S Madison St, Muncie, IN 47305-2465 | 2006-05-24 |
| 1144859661 | Meridian Health Services Corp. | Clinic/Center | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-06 |
| 1669934345 | Meridian Health Services Corp | Clinic/Center | 205 N Tillotson Ave Rm Rehab, Muncie, IN 47304-3900 | 2019-04-02 |
| 1104133511 | Open Door Health Services, Inc. | Clinic/Center | 215 S Hutchinson Ave, Muncie, IN 47303 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861313 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 5th Ave, Gary, IN 46402-1723 | 2020-11-06 |
| 1205446259 | Hamilton Center Inc. | Clinic/Center | 622 8th Avenue, Terre Haute, IN 47804-4780 | 2020-08-05 |
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1023642576 | Southlake Community Mental Health Center Inc. | Clinic/Center | 2250 173rd St Ste 111, Hammond, IN 46323-2074 | 2020-02-24 |
| 1053944058 | 219 Health Network Inc | Clinic/Center | 1802 E Columbus Dr, East Chicago, IN 46312-2826 | 2020-02-18 |
| 1225661234 | 219 Health Network Inc | Clinic/Center | 4320 Fir St Unit 208, East Chicago, IN 46312-8410 | 2020-02-18 |
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1487110169 | Meridian Health Services Corp | Clinic/Center | 800 N Central Ave, Alexandria, IN 46001-8172 | 2019-02-18 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.