Meridian Behavioral Healthcare, Inc.
Organization Active NPI Community/Behavioral Health Agency · Chiefland, FL
NPI 1780184994 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1780184994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MERIDIAN BEHAVIORAL HEALTHCARE, INC.
- Practice address
- 103 NE 1St St
Chiefland, FL 32626-0920 - Phone
- (800) 330-5615
- Fax
- (352) 244-0280
- NPI assigned
- Feb 14, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Authorized official
- Name
- Lauren Cohn
- Title
- SVP / Chief Performance Officer
- Phone
- (352) 374-5600
Other NPIs on the same Medicare enrollment 10
Practitioners 10
-
Patricia A Bischoff, LCSW
-
Bonnie Boyette-Peterson, APRN-C
-
Sabrina Michelle Brown, LCSW
-
Steven Michael Carney, MSW, LCSW
-
Vonceil Parnell Levine, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060502000237 | FL | Part B Supplier - Clinic/Group Practice | 7517977812 |
Receives reassigned benefits from 99 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cross City, FL; Trenton, FL; Starke, FL; Palatka, FL; Ocala, FL; Macclenny, FL; Live Oak, FL; Lake City, FL… |
National Provider Directory
- Part of
- Meridian Behavorial HLT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
103 NE 1St St
Chiefland, FL 32626-0920
Mailing address
1565 SW Williston Rd
Gainesville, FL 32608-4044
Phone (352) 374-5600
Other providers in Chiefland, FL
- William B Martin
- Sally Teadt Martinez
- Matthew Cole Medei
- Medical Specialists of Florida
- Meridian Behavioral Healthcare, Inc.
- Marina D Miller
- Nicole Miller
- Shameka Mobley
- Kelsi Morgan
- Robert E Mount
All providers in Chiefland, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. 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.