| NPI | 1225455082 |
|---|---|
| Former Legal Business Name | MAHONING COUNTY CHEMICAL DEPENDENCY PROGRAMS, INC. |
| Former Legal Business Name | MERIDIAN COMMUNITY CARE |
| Former Legal Business Name | MERIDIAN SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | MELISSA COPPOLA Billing Manager 330-318-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 171100000X Acupuncturist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2022-09-06 |