Meridian Pediatric Extended Care LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

MERIDIAN PEDIATRIC EXTENDED CARE LLC

Practice address

3850 Highway 45 N
Meridian, MS 39301-1517

Phone

(601) 912-0373

Fax

(601) 910-7521

NPI assigned

Jul 6, 2015

Last updated

Jul 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Hammond, RPH

Title

Administrator

Phone

(601) 912-0373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1609259936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HIGHWAY 45 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011517",
            "telephone_number": "601-912-0373",
            "fax_number": "601-910-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HIGHWAY 45 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011517",
            "telephone_number": "601-912-0373",
            "fax_number": "601-910-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PEDIATRIC EXTENDED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-912-0373",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meridian Orthopaedic Surgery Center, LLC
• Meridian Pediatric Dental Group, LLC
• Meridian Pediatrics, PLLC
• Meridian Plastic Surgery PA
• Meridian Radiology Associates PA
• Meridian Regional Diagnostics Group LLC
• Meridian Sleep Services LLC

• Pediatric Skilled Nursing Facility in Meridian, MS
• Providers in Meridian, MS by specialty
• Pediatric Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.