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MERIDIAN GYNECOLOGICAL CENTER NPI 1245443423


NPI Information

NPI: 1245443423
Provider Name: MERIDIAN GYNECOLOGICAL CENTER
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 15D2287014

Address:
1205 HADLEY RD
MOORESVILLE, IN
ZIP 46158
Phone: (317) 831-9439
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MERIDIAN GYNECOLOGICAL CENTER is a gynecology obstetrics gynecology in Mooresville, IN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MERIDIAN GYNECOLOGICAL CENTER NPI is 1245443423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 HADLEY RD
MOORESVILLE, IN
ZIP 46158-737
Phone: (317) 831-9439
Fax: (317) 834-5928

The provider's authorized official is G. Alan Von Stein, M.d. .
The authorized official title is Owner and has the following contact phone number (317) 831-9469.

The CLIA number assigned to this NPI record is 15D2287014 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 5/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology01040116AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277420MEDICARE PININDIANA
2C13913MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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