Meridian Health Services Corp
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Muncie, IN
NPI 1992755490 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1992755490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- MERIDIAN HEALTH SERVICES CORP
- Practice address
- 240 N Tillotson Ave
Muncie, IN 47304-3988 - Phone
- (765) 288-1928
- Fax
- (765) 741-0340
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Scott Riggs
- Title
- Cfo
- Phone
- (765) 288-1928
Other NPIs on the same Medicare enrollment 48
Practitioners 344
-
Sadia Abbasi, MD
-
Sharyn Abbott, LCSW
-
Amy Greenfield Abuasabeh, PMHNP
-
Aus Aburashed, MD
-
Imtiaz M Ahmad, M.D.
-
Matthew Anthony Akins, D.C.
-
Venu Alapati, MD
-
Desma Denise Allen, FNP-C
-
Kimberly A Alvey, LMHC
-
Melissa A Anthony, FNP-BC
-
Wael Bakdash, M.D.
-
Kristena M Barry, NP-C
-
Angela Beaty-Suesz, LCSW
-
Adrienne Bedford, MD
-
Meagan Kristine Beeler, N.P.
-
Katie Carol Bennett, LCSW
-
Meghana Bhat, M.D.
-
Sophia R Binkley-Timmerman, LCAC, LMHC
-
Gladys Blackburn, NP
-
Mandy Jean Boeckman, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
All facility ownership & control disclosures 38
| 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 |
Medicare enrollment records
| 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 |
National Provider Directory
Locations
1547 Ohio Ave
Anderson, IN 46016
Phone (765) 552-3188
2020 McKinnie Ave
Fort Wayne, IN 46806
5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588
1500 Salem St
Ste 110
Lafayette, IN 47904
Phone (765) 250-9212
323 E 2nd St
Marion, IN 46952
Phone (765) 573-5567
130 N Tillotson Ave
Muncie, IN 47304
Phone (765) 288-3770
731 N Plum St
Rm 107
Union City, IN 47390
Phone (765) 232-3734
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Psychiatric Hospital | 283Q00000X |
Addresses
Primary practice location
240 N Tillotson Ave
Muncie, IN 47304-3988
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273590G | Medicaid | IN | |
| 100273590I | Medicaid | IN | |
| 100273590F | Medicaid | IN | |
| 100273590B | Medicaid | IA | |
| 100273590D | Medicaid | IN | |
| 100273590H | Medicaid | IN | |
| 300025118 | Medicaid | IN | |
| 100273590A | Medicaid | IN | |
| 100273590C | Medicaid | IN | |
| 200851630A | Medicaid | IN |
Other providers in Muncie, IN
- Meridian Health Services Corp
- Meridian Health Services Corp
- Meridian Health Services Corp
- Meridian Health Services Corp
- Meridian Health Services Corp
- Meridian Health Services Corp.
- Meridian Health Services Corp.
- Meridian Health Services Corp.
- Meridian Health Services Corp.
- Meridian Services
All providers in Muncie, IN · Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.