Meridian Behavioral Healthcare, Inc.
Organization Active NPI Community/Behavioral Health Agency · Jasper, FL
NPI 1124295464 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1124295464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MERIDIAN BEHAVIORAL HEALTHCARE, INC.
- Practice address
- 406 10TH Ave NW
Jasper, FL 32052-5844 - Phone
- (386) 792-1338
- Fax
- (386) 792-0805
- NPI assigned
- May 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Karen Elizabeth Savoie
- Title
- V.P. Billing & Collections
- Phone
- (352) 374-5600
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 28
Practitioners 8
-
Dolor Akpore, D.O
-
Amanda Futch, LCSW
-
Ruth A Jackson, LCSW
-
Delora Y Rollins, LMHC
-
Faith L Skodmin, LCSW
-
Tonia L Werner, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060502000237 | FL | Part B Supplier - Clinic/Group Practice | 7517977812 |
Receives reassigned benefits from 99 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cross City, FL; Trenton, FL; Starke, FL; Palatka, FL; Ocala, FL; Macclenny, FL; Live Oak, FL; Lake City, FL… |
National Provider Directory
- Tax ID family
- Meridian Behavorial HLT
Locations
406 10th Ave NW
Jasper, FL 32052
Phone (386) 792-1338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
406 10TH Ave NW
Jasper, FL 32052-5844
Mailing address
406 10TH Ave NW
Jasper, FL 32052-5844
Phone (386) 792-1338
Other practice location 1
117 SW Virginia Cir
Mayo, FL 32066-4065
Phone (352) 374-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360344010 | Medicaid | FL |
Other providers in Jasper, FL
- Jamyla Joanne Marshall
- Mary Hughes Transport
- Mary McGrath
- Medical Diagnostic Services of Central Florida Inc
- Meridian Behavioral Healthcare
- Meridian Behavioral Healthcare, Inc.
- David Cameron Miller
- Kylil Abraham Morales
- Michael David Newman
- W. Benjamin Norris Jr.
All providers in Jasper, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.