MERIDIAN WEIGHT MANAGEMENT CENTER (NPI# 1952739229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952739229 |
| Entity Type | Organization |
| Organization Name | MERIDIAN WEIGHT MANAGEMENT CENTER |
| Practice Address |
1715 23rd Ave Meridian MS 39301-3104 |
| Practice Telephone | 6016966736 |
| Practice Fax Number | 6016966778 |
| Mailing Telephone | 6016966736 |
| Mailing Fax Number | 6016966778 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | DAVID E BONNER (VICE-PRESIDENT) |
| Authorized Official Telephone | 6016966736 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 17693 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | P00071956 | 01 |
| MS | 00755091 | 05 | |
| AL | BCBS AL | 73012009 | 01 |
| AL | 009933895 | 05 | |
| MS | MEDICARE ID-TYPE UNSPECIFIED | 930002774 | 01 |
| Street Address |
1715 23RD AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036735 | Alicia Dubose | Nurse Practitioner | 1715 23rd Ave, Meridian, MS 39301-3104 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1790284693 | The Clarkdale Clinic, LLC | Clinic/Center | 6905 Highway 145 S, Meridian, MS 39301-9771 | 2018-02-06 |
| 1750512877 | Marianne Zakarian, M.d., P.C. | Clinic/Center | 2536 N Stokesberry Pl, Meridian, ID 83646-1144 | 2009-08-06 |
| 1316113368 | Upper Cervical Clinics of Idaho | Clinic/Center | 3023 E Copper Point Dr Ste 104, Meridian, ID 83642-1740 | 2008-04-30 |
| 1801919204 | Meridian Pediatrics | Clinic/Center | 3653 N Locust Grove Rd, Meridian, ID 83646-5924 | 2007-04-09 |
| 1205996063 | Idaho Minor Emergency and Family Practice Pa | Clinic/Center | 3041 East Copper Pointe Drive, Meridian, ID 83642 | 2006-12-11 |
| 1710352356 | Anderson Regional Medical Center | Clinic/Center | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2015-12-08 |
| 1093038234 | Magnolia Clinic | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-03-02 |
| 1083852982 | Embrace Wellness | Clinic/Center | 1943 N Locust Grove Rd, Meridian, ID 83646 | 2009-01-30 |
| 1962622019 | Communicare, Inc | Clinic/Center | 40 W Franklin Rd, Suite F, Meridian, ID 83642-2965 | 2007-04-30 |
| Find all providers in MERIDIAN | ||||
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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.