MERIDIAN HEALTH SERVICES CORP NPI 1730556333

NPI Information

NPI: 1730556333
Provider Name: MERIDIAN HEALTH SERVICES CORP
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D0360214

Address:
1150 S MAIN ST
DUNKIRK, IN
ZIP 47336
Phone: (765) 288-1928
Get Directions

MERIDIAN HEALTH SERVICES CORP is a federally qualified health center (fqhc) clinic center in Dunkirk, IN. MERIDIAN HEALTH SERVICES CORP NPI is 1730556333. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1150 S MAIN ST
DUNKIRK, IN
ZIP 47336-701
Phone: (765) 288-1928

The provider's authorized official is Kirk Shafer .
The authorized official title is Cfo and has the following contact phone number (765) 288-1928.

The CLIA number assigned to this NPI record is 15D0360214 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 8/31/2015.

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	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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

NPI Synchronization or Removal

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