Meridian Health Services Corp.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MERIDIAN HEALTH SERVICES CORP.

Doing business as

Meridian Health Services

Practice address

323 E 2ND St Ste 1
Marion, IN 46952-3871

Phone

(765) 288-1928

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Gary Gates

Title

Revenue Cycle Manager

Phone

(765) 254-2685

Specialties & licenses 1

Addresses

Other names 1

• Meridian Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Federally qualified health center certification: CCN C51020

Legal name

MERIDIAN HEALTH SERVICES CORP

Doing business as

MERIDIAN HEALTH SERVICES

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 8, 2024

Last certification

Mar 8, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 3, 1971 in IN

Enrollment address

323 E 2ND St
Ste 1
Marion, IN 46952-3871

Tax ID family

Comprehensive Mental HLTH58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Meridian Health Services Corp

  • Federally Qualified Health Center (FQHC)
  • New Castle, IN
  • NPI 1780051136
  NPD tax ID
• Meridian Health Services Corp

  • Federally Qualified Health Center (FQHC)
  • Bluffton, IN
  • NPI 1801615703
  NPD tax ID
• Meridian Health Services Corp

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
  • NPI 1841756749
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
  • NPI 1821664608
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Modoc, IN
  • NPI 1821794116
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1821836388
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1831816040
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Peru, IN
  • NPI 1831945708
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Bluffton, IN
  • NPI 1851011332
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1871210534
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Warren, IN
  • NPI 1902634041
  NPD tax ID
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
  • NPI 1912612284
  NPD tax ID

Locations

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sarfraz Saeed Khan, MD

  • Psychiatry Physician
  • Muncie, IN
  • NPI 1316982309

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 38

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan R Ross, LCSW

  • Clinical Social Worker
  • Marion, IN
  • NPI 1265970560
  NPD (past)

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1932970696",
    "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": "323 E 2ND ST STE 1",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523871",
            "telephone_number": "765-288-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "765-254-2685"
    },
    "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"
        }
    ]
}

• Medical Associates of Grant County, P.C.
• Meijer Stores Limited Partnership
• Melvin L. Frecker O.D.
• James R Mercho, D.D.S.
• Meridian Health Services Corp.
• Rachel Messer, RBT
• Dennis Earl Messersmith
• Magdalyn M Metz, MFA
• Manasseh Ifeanyi Michael
• Annalise Kathleen Michaud, MSN, PMHNP-BC

• Federally Qualified Health Center (FQHC) in Marion, IN
• Providers in Marion, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.