NPIMap

Organization Active NPI

Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Jasper, FL
National Provider Identifier
1124295464
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karen Elizabeth Savoie
Title
V.P. Billing & Collections
Phone
(352) 374-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Meridian Behavioral Healthcare Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

406 10th Ave NW
Jasper, FL 32052
Phone (386) 792-1338

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124295464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 10TH AVE NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320525844",
            "telephone_number": "386-792-1338",
            "fax_number": "386-792-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 10TH AVE NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320525844",
            "telephone_number": "386-792-1338",
            "fax_number": "386-792-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 SW Virginia Cir",
            "address_purpose": "LOCATION",
            "city": "Mayo",
            "state": "FL",
            "postal_code": "320664065",
            "country_code": "US",
            "telephone_number": "352-374-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SAVOIE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "V.P. BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "352-374-5600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.