MERIDIAN HEALTH SERVICES CORP (NPI# 1508300161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508300161 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTH SERVICES CORP |
| Other Organization Name | RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM |
| Practice Address |
498 Nw 18th St Suite A Richmond IN 47374-2851 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652881928 |
| Practice Fax Number | 7657410335 |
| Mailing Telephone | 7652881928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | KIRK SHAFER (CFO, VP) |
| Authorized Official Telephone | 7652881928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Residential Substance Abuse Treatment Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1487110169 | Meridian Health Services Corp | Clinic/Center | 800 N Central Ave, Alexandria, IN 46001-8172 | 2019-02-18 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1528539590 | Meridian Health Services Corp | Clinic/Center | 498 Nw 18th St., Bldg 416 Sted D, Bldg 416 Ste D, Richmond, IN 47374-2851 | 2018-12-17 |
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1669988663 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 2900 N River Rd Ste C, Lafayette, IN 47906-3744 | 2017-12-28 |
| 1689186785 | Meridian Health Services Corp | Clinic/Center | 630 E Main Street, Suite 200, Richmond, IN 47374-4358 | 2017-10-30 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1336597301 | Meridian Health Services Corp | Family Medicine | 110 E Wysor St, Muncie, IN 47305-1724 | 2016-05-31 |
| 1669003679 | Meridian Health Services Corp | Clinic/Center | 303 S Main St Ste 300, Bluffton, IN 46714-2503 | 2020-01-29 |
| Street Address |
498 NW 18TH ST SUITE A |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144288945 | Raul Burciaga | Psychiatry & Neurology | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-05-02 |
| 1417580812 | Erica Nicole Miller | Nurse Practitioner | 498 Nw 18th St, Richmond, IN 47374-2851 | 2020-02-14 |
| 1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
| 1386840668 | Constance Beatrice Clodfelter | Psychologist | 498 Nw 18th St, Richmond State Hospital, Richmond, IN 47374-2851 | 2007-06-25 |
| 1093933236 | State of Indiana - Auditor of State | Psychiatric Hospital | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-04-23 |
| 1750507109 | Douglas W. Orr | Pharmacist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-04-17 |
| 1578680666 | State of Indiana, Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-23 |
| 1679699151 | John Thomas Moore | Psychologist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-22 |
| 1538299300 | Bernida Lucile Iqbal | Dentist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-07 |
| 1770638496 | Robert T Mitrione | Specialist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1396194346 | Daynetta Bernstine | Substance Abuse Rehabilitation Facility | 311 W Macdonald Ave, Richmond, CA 94801-2965 | 2016-06-10 |
| 1902122799 | Halcyon Womens Center | Substance Abuse Rehabilitation Facility | 6712 Casey Savannah Ln, Richmond, VA 23234-8011 | 2010-04-19 |
| 1407072986 | Neighborhood House of North Richmond | Substance Abuse Rehabilitation Facility | 820 23rd St, Richmond, CA 94804-1338 | 2007-04-17 |
| 1407934672 | Rubicon, Inc | Substance Abuse Rehabilitation Facility | 2825 Rady St, Richmond, VA 23222-4097 | 2006-11-02 |
| 1396399101 | Westcare California, Inc. | Substance Abuse Rehabilitation Facility | 208 23rd St, Richmond, CA 94804-1830 | 2019-07-30 |
| 1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
| 1225419641 | Kerry Vincent | Substance Abuse Rehabilitation Facility | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2015-06-11 |
| 1881002541 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 12960 San Pablo Ave, Richmond, CA 94805-1307 | 2014-07-25 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.