Active NPI
Meridian Health Services Corp.
- Federally Qualified Health Center (FQHC)
- Peru, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MERIDIAN HEALTH SERVICES CORP.
- Practice address
- 285 W 12TH St Ste 102
Peru, IN 46970-1654 - Phone
- (765) 288-1928
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Mays
- Title
- Revenue Cycle Supervisor
- Phone
- (765) 254-5347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
285 W 12TH St Ste 102
Peru, IN 46970-1654
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Other names 1
- Meridian Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000531 | IN | Part B Supplier - Clinic/Group Practice | 5597679845 |
Receives reassigned benefits from 319 practitioners 48 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20250206001036 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 5597679845 | Practice locations: Peru, IN |
Federally qualified health center certification: CCN C51082
- Legal name
- MERIDIAN HEALTH SERVICES CORP
- Doing business as
- MERIDIAN HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 3, 2025
- Last certification
- Feb 3, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 285 W 12TH St
Ste 102
Peru, IN 46970-1654
Other NPIs on the same Medicare enrollment 48
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Abuse Rehabilitation Facility
- Richmond, IN
- NPI 1073058772
O20031119000531
-
- Obstetrics & Gynecology Physician
- Muncie, IN
- NPI 1093146268
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Rushville, IN
- NPI 1104257138
O20031119000531
-
- Substance Abuse Rehabilitation Facility
- Richmond, IN
- NPI 1164967865
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Muncie, IN
- NPI 1326458928
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Muncie, IN
- NPI 1336597301
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Muncie, IN
- NPI 1346785037
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Portland, IN
- NPI 1457803769
O20031119000531
-
- Federally Qualified Health Center (FQHC)
- Richmond, IN
- NPI 1467854661
O20031119000531
-
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1477504181
O20031119000531
-
- Substance Abuse Rehabilitation Facility
- Richmond, IN
- NPI 1508300161
O20031119000531
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Mental HLTH
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Muncie, IN
- NPI 1669934345
-
- Substance Abuse Rehabilitation Facility
- Lafayette, IN
- NPI 1669988663
-
- Federally Qualified Health Center (FQHC)
- Dunkirk, IN
- NPI 1730556333
-
- Federally Qualified Health Center (FQHC)
- Elwood, IN
- NPI 1730645631
-
- Federally Qualified Health Center (FQHC)
- New Castle, IN
- NPI 1780051136
-
- Federally Qualified Health Center (FQHC)
- Bluffton, IN
- NPI 1801615703
-
- Federally Qualified Health Center (FQHC)
- Anderson, IN
- NPI 1841756749
-
- Federally Qualified Health Center (FQHC)
- Muncie, IN
- NPI 1669118774
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1760283881
-
- Federally Qualified Health Center (FQHC)
- Anderson, IN
- NPI 1821664608
-
- Federally Qualified Health Center (FQHC)
- Modoc, IN
- NPI 1821794116
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1821836388
Locations
275 W 12th St
Ste 102
Peru, IN 46970
285 W 12th St
Ste 102
Peru, IN 46970
Phone (765) 472-4356
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Seth Warren | Corporate Officer | Nov 1, 2023 | |
| W-2 Managing Employee | Nov 1, 2023 | ||
| Operational/Managerial Control | Nov 1, 2023 | ||
| Terry Bailey | Corporate Director | Aug 1, 2024 | |
| John Coldren | Corporate Director | Sep 19, 2019 | |
| Steven Smith | Corporate Director | Sep 19, 2019 | |
| Christopher Fancher | Corporate Director | Sep 14, 2013 | |
| Steven Dowling | Corporate Director | Apr 25, 2019 | |
| Brian Ring | Corporate Director | Sep 17, 2011 | |
| Sue Ann Pflum | Corporate Director | Sep 17, 2011 | |
| Gary Lehman | Corporate Director | Aug 1, 2024 | |
| Doug Inman | Corporate Director | Aug 1, 2024 | |
| Andrew Dawson | Corporate Director | Aug 1, 2024 | |
| Sarfraz Khan | Corporate Officer | Dec 1, 2006 | |
| Operational/Managerial Control | Dec 1, 2006 | ||
| Brent Webster | Corporate Director | Sep 15, 2018 | |
| Sharalyn Hyman | Corporate Director | Aug 1, 2024 | |
| Derron Bishop | Corporate Director | Aug 1, 2024 | |
| Scott Riggs | Corporate Officer | Jun 1, 2015 | |
| W-2 Managing Employee | Jun 1, 2015 | ||
| Operational/Managerial Control | Jun 1, 2015 | ||
| Jay Davis | Corporate Director | Aug 1, 2024 | |
| James King | Corporate Director | Aug 1, 2024 | |
| Scott McKee | Corporate Director | Sep 17, 2020 | |
| Christina Bowles | Corporate Director | Nov 20, 2014 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatry Physician
- Muncie, IN
- NPI 1316982309
Corporate Officer, Operational/Managerial Control
All facility ownership & control disclosures 38
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Meridian Health Services Corp | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services Corp | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services Corp | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
| Meridian Health Services | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Aug 3, 1971 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1831945708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W 12TH ST STE 102",
"city": "PERU",
"state": "IN",
"postal_code": "469701654",
"telephone_number": "765-288-1928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH SERVICES CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "MAYS",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "REVENUE CYCLE SUPERVISOR",
"authorized_official_telephone_number": "765-254-5347"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meridian Health Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meridian Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.