1821043142 NPI number — MERIDIAN HEALTH, INC.

Table of content: (NPI 1821043142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821043142 NPI number — MERIDIAN HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERIDIAN HEALTH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CATONSVILLE COMMONS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821043142
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 E STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KENNETT SQUARE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19348-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-925-4436
Provider Business Mailing Address Fax Number:
610-925-4351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 FUSTING AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21228-4413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-747-1800
Provider Business Practice Location Address Fax Number:
410-747-0822
Provider Enumeration Date:
05/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DROPESKEY
Authorized Official First Name:
JANE
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE MANAGER
Authorized Official Telephone Number:
610-925-4231

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  03-018 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 23-1739582 . This is a "MARYLAND PHYSICIAN CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 71-00159 . This is a "UNITED-EVERCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02D0 . This is a "CAREFIRST - PROV/INQ#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2049123 . This is a "AETNA-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "AETNA-NONHMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "COVENTRY-DIAMOND PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "COVENTRY-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "HNFS-TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "COVENTRY-PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: MJ8 . This is a "CAREFIRST-BLUECHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 08817 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "HELIXCARE (MEDSTAR)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 032127300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 23-1739582 . This is a "CIGNA-MID-ATLANTIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23-1739582 . This is a "JOHNHOPKINS" identifier . This identifiers is of the category "OTHER".
  • Identifier: MJ8 . This is a "CAREFIRST - IND/PPO" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com