NPIMap

Organization Active NPI

Meridian Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Lake City, FL
National Provider Identifier
1275700601
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERIDIAN BEHAVIORAL HEALTHCARE
Practice address
173 SE Baya Dr
Lake City, FL 32025-5982
Phone
(386) 755-0337
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Heather Rupert
Title
Billing Director
Phone
(352) 374-5600

Specialties & licenses 1

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

Addresses

Primary practice location

173 SE Baya Dr
Lake City, FL 32025-5982

Mailing address

173 SE Baya Dr
Lake City, FL 32025-5982
Phone (386) 755-0337

Other identifiers 1

IdentifierTypeStateIssuer
360344017MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Meridian Behavorial Hea29 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

173 SE Baya Dr
Lake City, FL 32025
Phone (386) 755-0337

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1275700601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255982",
            "telephone_number": "386-755-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255982",
            "telephone_number": "386-755-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "RUPERT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "352-374-5600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360344017",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.