Meridian Behavioral Healthcare
Organization Active NPI Community/Behavioral Health Agency · Jasper, FL
NPI 1982871307 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1982871307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MERIDIAN BEHAVIORAL HEALTHCARE
- Practice address
- 406 10TH Ave NW
Jasper, FL 32052-5844 - Phone
- (386) 792-1338
- NPI assigned
- May 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Lauren Cohn
- Title
- SVP / Chief Performance Officer
- Phone
- (352) 374-5600
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Meridian Behavorial HLT
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
406 10TH Ave NW
Jasper, FL 32052-5844
Mailing address
1565 SW Williston Rd
Gainesville, FL 32608-4044
Phone (352) 374-5600
Other practice location 1
117 SW Virginia Cir
Mayo, FL 32066-4065
Phone (352) 374-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360344009 | Medicaid | FL |
Other providers in Jasper, FL
- Shannon Marie Luyando
- Jamyla Joanne Marshall
- Mary Hughes Transport
- Mary McGrath
- Medical Diagnostic Services of Central Florida Inc
- Meridian Behavioral Healthcare, Inc.
- Meridian Behavioral Healthcare, Inc.
- David Cameron Miller
- Kylil Abraham Morales
- Michael David Newman
All providers in Jasper, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.