NPIMap

Organization Active NPI

Meridian Health Services Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muncie, IN
National Provider Identifier
1992755490
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 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
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Scott Riggs
Title
Cfo
Phone
(765) 288-1928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
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 10

IdentifierTypeStateIssuer
100273590FMedicaidIN
100273590GMedicaidIN
100273590AMedicaidIN
200851630AMedicaidIN
100273590DMedicaidIN
100273590HMedicaidIN
100273590BMedicaidIA
100273590CMedicaidIN
100273590IMedicaidIN
300025118MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000531 IN Part B Supplier - Clinic/Group Practice 5597679845 Receives reassigned benefits from 319 practitioners
48 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 48

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 48

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2010 Brentwood Dr
Anderson, IN 46011
Phone (765) 393-0063

1150 S Main St
Dunkirk, IN 47336
Phone (765) 768-3188

2506 Willowbrook Pkwy
Ste 102
Indianapolis, IN 46205
Phone (317) 650-4752

424 E Southway Blvd
Kokomo, IN 46902
Phone (765) 480-9184

323 E 2nd St
Marion, IN 46952
Phone (765) 573-5567

1601 E 26th St
#6
Muncie, IN 47302

3620 W White River Blvd
Ste 2
Muncie, IN 47304

2000 Wernle Rd
Rm B6
Richmond, IN 47374
Phone (765) 966-2506

731 N Plum St
Rm 107
Union City, IN 47390
Phone (765) 232-3734

730 W Washington St
Winchester, IN 47394
Phone (765) 584-7820

Ownership & related parties

All facility ownership & control disclosures 38

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

FacilityTypeRoleSince
Meridian Health Services CorpMuncie, IN, CCN 151883 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesRushville, IN, CCN 151919 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesRichmond, IN, CCN 151931 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesNew Castle, IN, CCN 151961 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesPortland, IN, CCN 151978 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMuncie, IN, CCN 151980 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health Services CorpConnersville, IN, CCN 151022 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 3, 1971
Meridian Health Services CorpAnderson, IN, CCN 151042 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesElwood, IN, CCN 151043 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesRichmond, IN, CCN 151075 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMuncie, IN, CCN 151076 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMuncie, IN, CCN 151078 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesIndianapolis, IN, CCN 151097 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesAnderson, IN, CCN 151104 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesPortland, IN, CCN 151105 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesWinchester, IN, CCN 151144 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesBluffton, IN, CCN 151153 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMuncie, IN, CCN 151162 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesPortland, IN, CCN 151170 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMarion, IN, CCN 151171 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesRichmond, IN, CCN 151175 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMooresville, IN, CCN C51002 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesIndianapolis, IN, CCN C51003 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesAnderson, IN, CCN C51011 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesKokomo, IN, CCN C51018 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesLafayette, IN, CCN C51060 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesRussiaville, IN, CCN C51061 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMarkle, IN, CCN C51059 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesUnion City, IN, CCN C51063 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesOssian, IN, CCN C51065 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesPortland, IN, CCN C51068 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesPeru, IN, CCN C51069 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesBluffton, IN, CCN C51072 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesBluffton, IN, CCN C51080 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesFrankfort, IN, CCN C51084 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesWarren, IN, CCN C51086 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesFort Wayne, IN, CCN C51092 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971
Meridian Health ServicesMontpelier, IN, CCN C51113 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Aug 3, 1971

Practitioners & affiliated clinicians

Practitioners 344

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 344

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1992755490",
    "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",
            "fax_number": "765-741-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-288-1928"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590G",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200851630A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590H",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590B",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273590I",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025118",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.