Merriweather Life Line

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MERRIWEATHER LIFE LINE

Practice address

RT Box 1191
Princeton, TX 75407-1191

Phone

(214) 664-0867

Fax

(972) 982-2239

NPI assigned

Oct 21, 2013

Last updated

Jun 30, 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

Rosalind Thompson-Carroll, MASTERS OF SOCIOLOGY

Title

Ceo

Phone

(214) 664-0867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1720416209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754071191",
            "telephone_number": "214-664-0867",
            "fax_number": "972-982-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT BOX 1191",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754071191",
            "telephone_number": "214-664-0867",
            "fax_number": "972-982-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIWEATHER LIFE LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-CARROLL",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-664-0867",
        "authorized_official_credential": "MASTERS OF SOCIOLOGY"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Princeton, TX
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• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.