NPIMap

Organization Active NPI

Meridian Wellness Center

  • Health Service Clinic/Center
  • Medford, OR
National Provider Identifier
1649629734
Registry record updated Oct 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
20830 Issued in OR
Legal business name
MERIDIAN WELLNESS CENTER
Practice address
329 S Ivy St
Medford, OR 97501-3174
Phone
(541) 944-5648
NPI assigned
Jun 8, 2016
Last updated
Oct 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2016

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

Authorized official

Name
Carson McKee CaseNPI 1730551417
Title
LMT
Phone
(541) 944-5648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 20830 OR Primary

Addresses

Primary practice location

329 S Ivy St
Medford, OR 97501-3174

Mailing address

329 S Ivy St
Medford, OR 97501-3174
Phone (541) 944-5648

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475366400000",
    "number": "1649629734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S IVY ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013174",
            "telephone_number": "541-944-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S IVY ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013174",
            "telephone_number": "541-944-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-10-02",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "CARSON",
        "authorized_official_middle_name": "MCKEE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "541-944-5648"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "20830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; 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.