| Meridian Health Services Corp | |
|
2506 Willowbrook Pkwy Ste 102a Indianapolis IN 46205-1542 | |
| (317) 803-2270 | |
| (317) 217-3029 |
| Full Name | Meridian Health Services Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2506 Willowbrook Pkwy Ste 102a, 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) 288-1928 | Meridian Health Services Corp 2506 Willowbrook Pkwy Ste 102a Indianapolis IN 46205-1542 Ph: (317) 803-2270 |
| NPI Number | 1346748654 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 02/01/2018 |
| Medicare PECOS PAC ID | 5597679845 |
|---|---|
| Medicare Enrollment ID | O20180212001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346748654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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