NPIMap

Organization Active NPI

Meridian Behaviral Healthcare

  • Community/Behavioral Health Agency
  • Lake City, FL
National Provider Identifier
1629245964
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0312AD621402 Issued in FL
Legal business name
MERIDIAN BEHAVIRAL HEALTHCARE
Practice address
439 SW Michigan St
Lake City, FL 32025-0440
Phone
(386) 487-0800
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Karen E. Savoie
Title
V.P. Billing & Collection
Phone
(352) 374-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0312AD621402 FL Primary

Addresses

Primary practice location

439 SW Michigan St
Lake City, FL 32025-0440

Mailing address

439 SW Michigan St
Lake City, FL 32025-0440
Phone (386) 487-0800

Other identifiers 1

IdentifierTypeStateIssuer
360344004MedicaidFL

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

439 SW Michigan St
Lake City, FL 32025
Phone (386) 487-0800

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": "1346889600000",
    "number": "1629245964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 SW MICHIGAN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250440",
            "telephone_number": "386-487-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SW MICHIGAN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250440",
            "telephone_number": "386-487-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIRAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "SAVOIE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "V.P. BILLING & COLLECTION",
        "authorized_official_telephone_number": "352-374-5600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0312AD621402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360344004",
            "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 Sep 6, 2012; 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.