Meriwether Healthcare, L.L.C.
Organization Active NPI Long Term Care Pharmacy · Warm Springs, GA
NPI 1356674709 · NPPES record last updated Jul 9, 2017
Key facts
- NPI
- 1356674709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PHH007763 (GA)
- Legal business name
- MERIWETHER HEALTHCARE, L.L.C.
- Practice address
- 5995 Spring St
Warm Springs, GA 31830-2149 - Phone
- (706) 655-3331
- Fax
- (706) 655-9266
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen Daniel
- Title
- Ceo
- Phone
- (706) 655-9351
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 3
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100428000614 | GA | Part B Supplier - Pharmacy | 1850430679 | Practice locations: Warm Springs, GA |
National Provider Directory
- Tax ID family
- Meriwether Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHRE008857 | GA | |
| Long Term Care Pharmacy | 3336L0003X | PHH007763 | GA | Yes |
Addresses
Primary practice location
5995 Spring St
Warm Springs, GA 31830-2149
Mailing address
5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001284B | Medicaid | GA |
Other names
- Warm Springs Medical Center
Other providers in Warm Springs, GA
- Meriwether County Hospital Authority
- Meriwether County Hospital Authority
- Meriwether County Hospital Authority
- Meriwether County Hospital Authority
- Meriwether County Hospital Authority
- Meriwether Healthcare, L.L.C.
- Meriwether Healthcare, L.L.C.
- Meriwether Healthcare, L.L.C.
- Meriwether Medicine LLC
- Movewell Mobility LLC
All providers in Warm Springs, GA · Long Term Care Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2017. 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.