MERIDIAN HEALTH SERVICES CORP (NPI# 1457803769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457803769 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTH SERVICES CORP |
| Other Organization Name | MERIDIANMD CONVENIENCE CARE |
| Practice Address |
500 W Votaw St Suite A Portland IN 47371-1322 |
| 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 | 2016-11-03 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MR. KIRK SHAFER (CFO) |
| Authorized Official Telephone | 7652881928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MeridianMD Convenience Care | Doing Business As Name - Organization |
| 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 |
500 W VOTAW ST SUITE A |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115993 | Jay County Hospital | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2005-06-24 |
| 1972074482 | Cassandra Louise Alexander | Social Worker | 500 W Votaw St, Portland, IN 47371-1322 | 2018-12-10 |
| 1669991279 | Indiana University Health Jay, Inc. | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-14 |
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1801315692 | Indiana University Health Jay, Inc. | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1871018119 | Matthew Sieg | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2017-08-08 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1952759557 | Jay County Hospital | Family Medicine | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-05-25 |
| 1043672660 | Heather Ann Masters | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2016-03-23 |
| 1912302001 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 500 W Votaw St, Portland, IN 47371-1322 | 2014-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1861574006 | Wal-mart Stores East, Lp | Technician/Technologist | 950 W Votaw St, Portland, IN 47371 | 2006-10-19 |
| 1982677241 | James P Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-08 |
| 1982749867 | Family Practice of Jay County | Family Medicine | 428 West Votaw Street, Ste. A, Portland, IN 47371-0710 | 2007-02-20 |
| Find all providers in zip 47371 | ||||
| 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 |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
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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.