| Meridian Health Services Corp. | |
|
4755 Kingsway Dr Ste 105a Indianapolis IN 46205-1549 | |
| (317) 803-2270 | |
| Not Available |
| Full Name | Meridian Health Services Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4755 Kingsway Dr Ste 105a, Indianapolis, Indiana |
| Authorized Official Name and Position | Gary Gates (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7652542685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Health Services Corp. 240 N Tillotson Ave Muncie IN 47304-3988 Ph: (765) 254-2685 | Meridian Health Services Corp. 4755 Kingsway Dr Ste 105a Indianapolis IN 46205-1549 Ph: (317) 803-2270 |
| NPI Number | 1023603024 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Medicare PECOS PAC ID | 5597679845 |
|---|---|
| Medicare Enrollment ID | O20210331000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023603024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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